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Dr. Mrudula J Shah, MD
Specialist in Ashland, Kentucky
NPI 1427144823

Mrudula J Shah is a Specialist based in Ashland, KY. Mrudula J Shah practices in Ashland, KY and has the professional credentials of MD. The NPI Number for Mrudula J Shah is 1427144823 and holds a License No. 19399 (Kentucky).

The current practice location address for Mrudula J Shah is 1101 St Christopher Dr, Ashland, KY and can be reached out via phone at 606-836-8188 and via fax at 606-836-8177.

Location: 1101 St Christopher Dr, Ashland, KY, 41105-2256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427144823
Provider Name
Mrudula J Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1101 St Christopher Dr, Ashland, KY, 41105-2256
Phone Number
606-836-8188
Fax Number
606-836-8177
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19399 01 KY LICENSE NUMBER
64193998 05 KY
institution
Provider Business Practice Location Address Details
Address
1101 St Christopher Dr
City
Ashland
State
Kentucky
Zip
41101
Phone Number
606-836-8188
Fax Number
606-836-8177
person
Provider Business Mailing Address Details
Address
1101 St Christopher Dr
City
Ashland
State
Kentucky
Zip
41101
Phone Number
606-836-8188
Fax Number
606-836-8177
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
19399 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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