Individual
ILESHA S SHAH
Active
Individual
ILESHA S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036170565
IL
207L00000X
Anesthesiology Physician
Primary
2019020194
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023019694
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
06/19/2019
Last updated
09/09/2024
Update your record
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