Doctor Name: | DR. MADHURI SHAH |
NPI Number: | 1124156906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 164193-1203 |
Business Practice Address: | 515 S 400 E Salt Lake City, UT - 841113501 |
Business Phone Number: | 8013633616 |
Business Fax Number: | 8013639051 |
Mailing Address: | 515 So 400 E, SALT LAKE CITY |
State: | UT |
Postal Code: | 841113501 |
Phone Number: | 8013633616 |
Fax Number: | 8013639051 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 164193-1203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |