Individual
MUKUL R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4123 DUTCHMANS LN STE 606, LOUISVILLE, KY 40207-4725
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
33080
KY
Other
Enumeration date
03/14/2006
Last updated
09/13/2021
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