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Individual

DR. MRUDULA J SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1101 ST CHRISTOPHER DR, SAME DAY SURGERY CTR. STE 340, ASHLAND, KY 41101
(606) 836-8188
(606) 836-8177
Mailing address
1101 ST CHRISTOPHER DR, STE 340, ASHLAND, KY 41105-2256
(606) 836-8188
(606) 836-8177

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19399
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19399
LICENSE NUMBER
KY
05
64193998
KY
Enumeration date
10/04/2006
Last updated
07/08/2007
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