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1821010844
SUDHA SHAH
ALTON, IL
NPI
1821010844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: IL 036056231)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Dr. SUDHA SHAH
4500 COLLEGE AVE
ALTON, IL 62002-5051
Phone number: 618-474-3800
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Mailing Address
Dr. SUDHA SHAH
2 HIDDEN VALLEY LN
EDWARDSVILLE, IL 62025-3706
Phone number:
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