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1295704385
MUKUL R SHAH
LOUISVILLE, KY
NPI
1295704385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: KY 33080)
Enumeration Date
2006-03-14
Last Update Date
2021-09-13
Business Address
MUKUL R SHAH M.D.
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207-4725
Phone number: 502-896-2500
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Mailing Address
MUKUL R SHAH M.D.
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5395
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