Individual
DR. CHETAN CHANDULAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
E-5677
AR
2085P0229X
Pediatric Radiology Physician
C10010212
DE
2085P0229X
Pediatric Radiology Physician
E-5677
AR
2085P0229X
Pediatric Radiology Physician
Primary
ME113302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006569400
—
FL
05
—
170947001
—
AR
Enumeration date
06/21/2007
Last updated
01/20/2022
Update your record
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