Organization
SHAH MEDICAL GROUP APMC
Active
Organization
SHAH MEDICAL GROUP APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MRUNALINI B SHAH MD (OWNER)
(318) 671-1745
Entity
Organization
Contact information
Practice address
5607 MIRADOR CIR, SHREVEPORT, LA 71119-4009
(318) 671-1745
Mailing address
PO BOX 3591, SHREVEPORT, LA 71133-3591
(318) 671-1745
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L40598R
LA
Other
Enumeration date
05/23/2007
Last updated
09/09/2009
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