Organization
ALLERGY & ASTHMA CLINIC OF WY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH S SHAH MD (PHYSICIAN)
(307) 577-5222
Entity
Organization
Contact information
Practice address
2222 E 2ND ST, CASPER, WY 82609
(307) 577-5222
(307) 577-5225
Mailing address
2222 E 2ND ST, CASPER, WY 82609
(307) 577-5222
(307) 577-5225
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
38777
CO
207K00000X
Allergy & Immunology Physician
Primary
5881A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311846
BCBS
WY
Enumeration date
09/25/2006
Last updated
08/22/2020
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