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NPI Code Detail

MEDICARE: DHARA P SHAH PT

MEDICARE: DHARA P SHAH PT
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
1225100000XPhysical Therapist005867KY

General Provider Information

NPI Number : 1467527275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHARA P SHAH PT
Provider Business Mailing Address
First Line : 101 FORBES DR
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-7200
Country : US
Telephone Number : 270-889-9996
Fax Number : 270-889-9993
Provider Business Practice Location Address
First Line : 101 FORBES DR
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-7200
Country : US
Telephone Number : 270-889-9996
Fax Number : 270-889-9993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 03/11/2013

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Directions to “ DHARA P SHAH PT” Practice Location

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