Individual
GAURANG B SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 CORPORATE DR, STE 1, RICHMOND, KY 40475-8884
(859) 625-0045
(859) 624-0076
Mailing address
2025 CORPORATE DR., STE 1, RICHMOND, KY 40475-8884
(859) 625-0045
(859) 624-0076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64325327
—
KY
Enumeration date
10/20/2006
Last updated
11/03/2011
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