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Individual

SIDDHARTH ASHOKKUMAR SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-4970
(502) 588-7713
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
46307
KY

Other

Enumeration date
05/21/2009
Last updated
10/27/2020
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