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Dr. Madhuri Shah, MD
Clinic/Center in Salt Lake City, Utah
NPI 1124156906

Madhuri Shah is a Clinic/Center based in Salt Lake City, UT. Madhuri Shah practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Madhuri Shah is 1124156906 and holds a License No. 164193-1203 (Utah).

The current practice location address for Madhuri Shah is 515 S 400 E, Salt Lake City, UT and can be reached out via phone at 801-363-3616 and via fax at 801-363-9051.

Location: 515 S 400 E, Salt Lake City, UT, 84111-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124156906
Provider Name
Madhuri Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
515 S 400 E, Salt Lake City, UT, 84111-3501
Phone Number
801-363-3616
Fax Number
801-363-9051
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
515 S 400 E
City
Salt Lake City
State
Utah
Zip
84111-3501
Phone Number
801-363-3616
Fax Number
801-363-9051
person
Provider Business Mailing Address Details
Address
515 S 400 E
City
Salt Lake City
State
Utah
Zip
84111-3501
Phone Number
801-363-3616
Fax Number
801-363-9051
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
164193-1203 (Utah)
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).
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