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1720213689
SIDDHARTH ASHOKKUMAR SHAH
LOUISVILLE, KY
NPI
1720213689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: KY 46307)
Enumeration Date
2009-05-21
Last Update Date
2020-10-27
Business Address
SIDDHARTH ASHOKKUMAR SHAH M.D.
411 E CHESTNUT ST
LOUISVILLE, KY 40202-1713
Phone number: 502-588-4970
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Mailing Address
SIDDHARTH ASHOKKUMAR SHAH M.D.
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490
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UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION