Doctor Name: | DR. MITUL B SHAH |
NPI Number: | 1083645436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 111027 |
Business Practice Address: | 1031 Bellevue Ave Suite 400 Saint Louis, MO - 631171818 |
Business Phone Number: | 3149777455 |
Business Fax Number: | 3149777477 |
Mailing Address: | 6420 Clayton Rd, Suite 290 SAINT LOUIS |
State: | MO |
Postal Code: | 631171811 |
Phone Number: | 3147811505 |
Fax Number: | 3147812840 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 111027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |