Individual
DR. MANAN UDAYAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 UNION BLVD STE 220, LAKEWOOD, CO 80228-1833
(303) 238-1366
(303) 238-0038
Mailing address
255 UNION BLVD STE 220, LAKEWOOD, CO 80228-1833
(303) 238-1366
(303) 238-0038
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D84772
MD
207Y00000X
Otolaryngology Physician
Primary
DR.0062667
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2013
Last updated
11/11/2022
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