Individual
AMIL HITESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 W 14TH ST, PUEBLO, CO 81003-2705
(719) 595-7585
(719) 595-7589
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 595-7585
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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