Individual
BHARAT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
166 LANDIS WAY N, WILMINGTON, DE 19803-6408
(302) 439-4800
Mailing address
166 LANDIS WAY N, WILMINGTON, DE 19803-6408
(302) 439-4800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
U1-0000066
DE
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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