Individual
KAMLESH S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 EAST SECOND STREET, CASPER, WY 82609
(307) 577-5222
(307) 577-5225
Mailing address
2222 EAST SECOND STREET, CASPER, WY 82609
(307) 577-5222
(307) 577-5225
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
38777
CO
207K00000X
Allergy & Immunology Physician
Primary
5881A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111801300
—
WY
Enumeration date
12/15/2006
Last updated
12/08/2010
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