Individual
SMIT PRAFULCHANDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(856) 649-2994
Mailing address
2533C SIDNEY ST, PITTSBURGH, PA 15203-2198
(856) 649-2994
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
LL84510
SC
2084V0102X
Vascular Neurology Physician
Primary
76419
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
04/01/2025
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