Individual
DR. KRISHNAJIVAN CHHABILDAS SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
466 IRISH ST, SUMMERSVILLE, WV 26651-1818
(304) 872-3010
(304) 872-3010
Mailing address
466 IRISH ST, P.O.BOX 903, SUMMERSVILLE, WV 26651-1818
(304) 872-3010
(304) 872-3010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15738
WV
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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