Individual
MS. DIVYA RAHUL SHAH
Active
Individual
MS. DIVYA RAHUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
290175
MA
390200000X
Student in an Organized Health Care Education/Training Program
BP10059916
TX
Other
Enumeration date
05/10/2017
Last updated
07/18/2022
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