Individual
DR. MANILAL B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 MAYFAIR DR, SUITE 202, OWENSBORO, KY 42301-4568
(270) 688-4480
(270) 688-4489
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22408
KY
2080A0000X
Pediatric Adolescent Medicine Physician
22408
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64224082
—
KY
Enumeration date
09/20/2006
Last updated
06/19/2014
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