Individual
DR. BHARAT KANTILAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 N KINGSHIGHWAY, EAST SAINT LOUIS, IL 62203-1085
(618) 394-2200
(618) 394-5672
Mailing address
16387 WYNNCREST FALLS WAY, WILDWOOD, MO 63005
(636) 272-6978
(309) 272-1583
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36049764
IL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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