Organization
RAMESH R SHAH, .M.D, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA M LOW (INSURANCE BILLING)
(417) 781-2616
Entity
Organization
Contact information
Practice address
1703 W 30TH ST, STE B, JOPLIN, MO 64804-1603
(417) 781-2616
(417) 781-2934
Mailing address
1703 W 30TH ST, STE B, JOPLIN, MO 64804-1603
(417) 781-2616
(417) 781-2934
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004110A
—
OK
05
—
100155780A
—
KS
05
—
201842408
—
MO
Enumeration date
07/18/2008
Last updated
08/08/2008
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