Organization
SHAH MEDICAL CLINIC PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYEH ASIF R SHAH MD (OWNER)
(605) 275-0066
Entity
Organization
Contact information
Practice address
6709 S MINNESOTA AVE STE 200, SIOUX FALLS, SD 57108-2593
(605) 275-0066
Mailing address
6709 S MINNESOTA AVE STE 200, SIOUX FALLS, SD 57108-2593
(605) 275-0066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0537
SD
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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