Organization
SHAH ENTERPRISES LLC
Active
Other names
true care medical center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHIRKUMAR P SHAH M.D. (MEDICAL DIRECTOR)
(636) 797-2330
Entity
Organization
Contact information
Practice address
10640 HIGHWAY 21, HILLSBORO, MO 63050
(636) 797-2330
(636) 212-9200
Mailing address
10640 BUSINESS 21, SUITE 5, HILLSBORO, MO 63050-5039
(636) 797-2330
(636) 212-9200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MO104020
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205262546
—
MO
Enumeration date
09/12/2007
Last updated
04/18/2016
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