Individual
DR. SHIRALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49804
KY
207P00000X
Emergency Medicine Physician
TP495
KY
208600000X
Surgery Physician
MT202590
PA
282N00000X
General Acute Care Hospital
IP1398
KY
390200000X
Student in an Organized Health Care Education/Training Program
R3680
KY
Other
Enumeration date
09/30/2012
Last updated
12/19/2016
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