Individual
DR. RAMESH R. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.,
Contact information
Practice address
1703 W 30TH ST, SUITE B, JOPLIN, MO 64804-1603
(417) 781-2616
(417) 781-2934
Mailing address
1703 W 30TH ST, SUITE B, JOPLIN, MO 64804-1603
(417) 781-2616
(417) 781-2934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R1-D43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070280
BCBS OF KS
KS
05
—
100004110A
—
OK
01
—
124365
HEALTHLINK
MO
05
—
201842408
—
MO
05
—
201842416
—
MO
01
—
27777
BCBS OF MO
MO
Enumeration date
08/09/2005
Last updated
09/30/2014
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