Individual
MR. NIRAV GAUTAM SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (N), (R), CNMT
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
294 12TH ST, WHEELING, IL 60090-2773
(847) 420-6167
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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