Individual
RUSHABH N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
18666
ND
390200000X
Student in an Organized Health Care Education/Training Program
63799
—
Other
Enumeration date
04/05/2016
Last updated
08/30/2022
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