Organization
SHAH MEDICAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAYED A SHAH MD (CO-OWNER)
(563) 340-8979
Entity
Organization
Contact information
Practice address
2206 E 52ND ST STE A, DAVENPORT, IA 52807-2790
(563) 340-8979
Mailing address
2206 E 52ND ST STE A, DAVENPORT, IA 52807-2790
(563) 340-8979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35468
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036110953
IL LICENSE
IL
01
—
35468
IA LICENSE
IA
Enumeration date
10/07/2013
Last updated
10/07/2013
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