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1760656706
GAURANG SURENDRA SHAH
MAPLEWOOD, MN
NPI
1760656706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 51638)
Enumeration Date
2008-04-22
Last Update Date
2015-03-05
Business Address
Dr. GAURANG SURENDRA SHAH MD
1575 BEAM AVE
MAPLEWOOD, MN 55109-1126
Phone number: 651-326-7200
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Mailing Address
Dr. GAURANG SURENDRA SHAH MD
10700 HAWTHORN TRL
WOODBURY, MN 55129-8767
Phone number: 651-815-0314
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