Individual
DARSHAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 W SAINT LOUIS AVE, EFFINGHAM, IL 62401-2235
(217) 979-4092
Mailing address
440 W. ST. LOUIS, EFFINGHAM, IL 62401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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