Individual
MITHUN VINOD SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196623
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
57086
MN
207RH0003X
Hematology & Oncology Physician
106999
MN
207RH0003X
Hematology & Oncology Physician
57086
MN
Other
Enumeration date
06/07/2010
Last updated
08/20/2020
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