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NPI Code Detail

MEDICARE: GIRISHKUMAR POPATLAL SHAH M.D.

MEDICARE: GIRISHKUMAR POPATLAL SHAH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician07754RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538210109
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIRISHKUMAR POPATLAL SHAH M.D.
Provider Business Mailing Address
First Line : 23 PIPER LN
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-3455
Country : US
Telephone Number : 985-626-1487
Fax Number : 985-626-8787
Provider Business Practice Location Address
First Line : 835 PRIDE DR
Second Line : STE B
City : HAMMOND
State : LA
Zip : 70401-9527
Country : US
Telephone Number : 985-543-4333
Fax Number : 985-543-4817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 03/29/2016

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