Individual
DHENUKA - SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
6405 TENNYSON OAKS LN, ALEXANDRIA, LA 71301-2763
(318) 445-4805
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA04762300
NJ
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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