NPI | 1528222569 |
---|---|
Former Name | PAYAL KIRAN SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60191665) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT 194034) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2024-10-16 |