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Individual

MAHESH B SHROFF

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
390 CARSKADON LANE, KEYSER, WV 26726
(304) 788-6655
(304) 788-6082
Mailing address
PO BOX 696, 390 CARSKADON LANE, KEYSER, WV 26726
(304) 788-6655
(304) 788-6082

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16193
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072995000
WV
Enumeration date
01/10/2006
Last updated
07/08/2007
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