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General NPI Number Information
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NPI Number | 1891903662
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Entity Type | Organization
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Legal Business Name | MUKESH V. SHAH, MD PC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 BONAR AVE
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City | WAYNESBURG
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State | PA
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Zip | 15370-1608
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Country | US
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Telephone | 724-489-0523
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 112728
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City | PITTSBURGH
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State | PA
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Zip | 15241-0328
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Country | US
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Telephone | 724-489-0523
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUKESH V SHAH
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Credential | MD
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Telephone | 724-489-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 024125E
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License Number State | PA
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