Individual
DR. PALAK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
(651) 241-5248
Mailing address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(651) 241-5290
(651) 241-5248
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
59805
MN
2084N0600X
Clinical Neurophysiology Physician
59805
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2009
Last updated
01/13/2022
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