Individual
SUBHASH H SHAH
Active
Individual
SUBHASH H SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04-24004
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
04-24004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136270B
—
KS
Enumeration date
05/24/2005
Last updated
12/06/2019
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