Individual
URVI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9101 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111
(505) 275-4288
(505) 275-4203
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7215
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2017-0249
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0356
NM
Other
Enumeration date
12/10/2013
Last updated
03/20/2019
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