Individual
DR. MUKHTAR H. SHAH
Active
Individual
DR. MUKHTAR H. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-17352
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047770
BLUE CROSS BLUE SHIELD
KS
05
—
100089090E
—
KS
01
—
260029156
RR MEDICARE
KS
Enumeration date
07/17/2006
Last updated
01/27/2017
Update your record
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