Individual
SYED ASAD ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-6523
Mailing address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013-02107
NC
Other
Enumeration date
06/18/2010
Last updated
07/28/2022
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