Organization
ASHLAND BELLEFONTE OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MRUDULA J SHAH M.D. (PHYSICIAN)
(606) 836-8188
Entity
Organization
Contact information
Practice address
1101 SAINT CHRISTOPHER DR, STE. 340, ASHLAND, KY 41101-7087
(606) 836-8188
(606) 836-8177
Mailing address
PO BOX 2256, 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
05
—
64193998
—
KY
Enumeration date
04/16/2007
Last updated
01/30/2008
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