Individual
DR. RENA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 883-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60367
WI
207RH0003X
Hematology & Oncology Physician
63362
MN
207RX0202X
Medical Oncology Physician
Primary
63362
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750670667
—
WI
Enumeration date
03/31/2011
Last updated
09/19/2023
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