Individual
DR. DIPAK SHAH
Active
Individual
DR. DIPAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R9354
MO
2085R0202X
Diagnostic Radiology Physician
04-30973
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R9354
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00223649
RR MEDICARE
MO
01
—
P00238773
RR MEDICARE
MO
01
—
P00371599
RR MEDICARE
KS
Enumeration date
03/07/2006
Last updated
03/13/2008
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