Individual
DR. ANAND K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
063220
GA
207W00000X
Ophthalmology Physician
MD28130
OR
390200000X
Student in an Organized Health Care Education/Training Program
TL-1555
CO
Other
Enumeration date
01/30/2007
Last updated
03/18/2016
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