Dr. Madhuri Shah, m.d.
Clinic/Center in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1124156906
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124156906
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madhuri Shah
- Credential
- m.d.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 164193-1203 | UT | Yes |
Practice location
515 S 400 ESalt Lake City, UT 84111-3501
Phone 801-363-3616 · Fax 801-363-9051
Mailing address
515 So 400 ESalt Lake City, UT 84111-3501
Phone 801-363-3616 · Fax 801-363-9051
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