Individual
RINA V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6405 FRANCE AVE S STE W440, EDINA, MN 55435-2190
(952) 927-7004
(952) 927-5146
Mailing address
3400 W 66TH ST STE 350, EDINA, MN 55435-2167
(952) 832-0805
(952) 832-5597
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10902
MN
363AS0400X
Surgical Physician Assistant
5601005074
MI
363AS0400X
Surgical Physician Assistant
C50000486
DE
363AS0400X
Surgical Physician Assistant
PA20882
CA
Other
Enumeration date
09/22/2005
Last updated
12/10/2014
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