Individual
DR. GAURANG SURENDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 326-7200
Mailing address
10700 HAWTHORN TRL, WOODBURY, MN 55129-8767
(651) 815-0314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51638
MN
Other
Enumeration date
04/22/2008
Last updated
03/05/2015
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