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1497753511
SUDHA P SHAH
ROCKFORD, IL
NPI
1497753511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036-069064)
Enumeration Date
2005-07-12
Last Update Date
2015-07-01
Business Address
Mrs. SUDHA P SHAH MD
6861 VILLAGREEN VW
ROCKFORD, IL 61107-5639
Phone number: 815-637-6200
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Mailing Address
Mrs. SUDHA P SHAH MD
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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