Individual
KUNAL VIJAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 W 8TH AVE, STE 200, SPOKANE, WA 99204-2302
(509) 624-9112
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD60541370
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/27/2009
Last updated
03/24/2021
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