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1740226505
SANJAYKUMAR B SHAH
BOSSIER CITY, LA
NPI
1740226505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 11384R)
Enumeration Date
2006-06-21
Last Update Date
2009-01-21
Business Address
-- SANJAYKUMAR B SHAH MD
2300 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7830
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Mailing Address
-- SANJAYKUMAR B SHAH MD
2300 HOSPITAL DR SUITE 200
BOSSIER CITY, LA 71111-2394
Phone number: 318-212-7830
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