Individual
HARSHAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4921
(719) 595-7994
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52293
CO
208M00000X
Hospitalist Physician
DR.0052293
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00022586
—
CO
Enumeration date
01/12/2009
Last updated
01/25/2019
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