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General NPI Number Information
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NPI Number | 1306161237
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Entity Type | Individual
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Provider Name | RICKI UPENDRA SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2010
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 9040 QUIVIRA RD
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City | LENEXA
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State | KS
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Zip | 66215-3902
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Country | US
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Telephone | 913-944-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 QUIVIRA RD
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City | LENEXA
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State | KS
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Zip | 66215-3902
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Country | US
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Telephone | 913-944-4900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 125059316
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036135089
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-42621
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 04-40860
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License Number State | KS
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