Individual
DR. SAIRAV B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S BURMA AVENUE, STE 3500, GILLETTE, WY 82716-3426
(307) 688-3700
(307) 688-7920
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9196A
WY
207RC0000X
Cardiovascular Disease Physician
35154
AZ
207RI0011X
Interventional Cardiology Physician
Primary
9196A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099093
—
AZ
Enumeration date
01/24/2006
Last updated
10/14/2020
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