Individual
DR. MADHURI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 S 400 E, SALT LAKE CITY, UT 84111-3501
(801) 363-3616
(801) 363-9051
Mailing address
515 SO 400 E, SALT LAKE CITY, UT 84111-3501
(801) 363-3616
(801) 363-9051
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
164193-1203
UT
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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