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Individual

DR. SHANTILAL V KARAVADIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4760
Mailing address
2420 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
(573) 339-0909
(573) 339-5940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
114510
MO
207R00000X
Internal Medicine Physician
279203-1205
UT

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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