Individual
DR. BHARAT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-9330
(417) 820-9358
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
109949
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208252304
—
MO
Enumeration date
06/23/2006
Last updated
05/02/2013
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