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NPI Code Detail

MEDICARE: KABEER SHAH D.O.

MEDICARE: KABEER SHAH D.O.
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
1207ZD0900XDermatopathology (Pathology) Physician59565MN
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician59565MN
3207ZP0105XClinical Pathology/Laboratory Medicine Physician59565MN
4207ND0900XDermatopathology Physician59565MN

General Provider Information

NPI Number : 1902198518
Entity Type Code : Individual
Provider Name (Legal Business Name) : KABEER SHAH D.O.
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2011
Last Update Date : 01/18/2019

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Directions to “ KABEER SHAH D.O.” Practice Location

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