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Individual

DR. DIPESH KESHAVLAL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 355-3003
(314) 355-0515
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(314) 355-3003
(314) 355-0515

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2019005578
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2019005578
MO

Other

Enumeration date
02/05/2008
Last updated
06/24/2019
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