Individual
SHAMITA BHUPENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4015
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
024965
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02304273
—
MS
05
—
1422011
—
LA
Enumeration date
04/03/2007
Last updated
01/04/2016
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