Individual
DR. MAHENDRA SARALAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3275
(918) 696-4065
(918) 696-5971
Mailing address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3275
(918) 696-4065
(918) 696-5971
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16375
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
—
Enumeration date
12/07/2009
Last updated
12/07/2009
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