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1023695608
SANKET SHAH
PORTLAND, OR
NPI
1023695608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR PG221171)
Enumeration Date
2021-03-28
Last Update Date
2024-12-18
Business Address
SANKET SHAH Medical student
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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Mailing Address
SANKET SHAH Medical student
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number:
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