Individual
MR. PRAVIN J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
782 THEODORE BURNETT CT, SUITE 5, LOUISVILLE, KY 40217-2958
(502) 386-6746
Mailing address
782 THEODORE BURNETT CT, SUITE 5, LOUISVILLE, KY 40217-2958
(502) 386-6746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20412
KY
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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