Organization
M.H. SHAH, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. H. SHAH M.D. (PSYCHIATRIST)
(316) 687-0006
Entity
Organization
Contact information
Practice address
1148 S HILLSIDE ST STE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Mailing address
1148 S HILLSIDE ST STE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-17352
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047770
BC/BS OF KS.
KS
05
—
100088090E
—
KS
Enumeration date
05/19/2008
Last updated
05/19/2008
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