Sudha Shah is a General Practice Physician based in Edwardsville, IL. Sudha Shah practices in Alton, IL. The NPI Number for Sudha Shah is 1821010844 and holds a License No. (Illinois).
The current practice location address for Sudha Shah is 4500 College Ave, Alton, IL and can be reached out via phone at 618-474-3800.
Location: 4500 College Ave, Alton, IL, 62025-3706
Provider Profile Details
NPI Number
1821010844
Provider Name
Sudha Shah
Credential
Provider Entity Type
Individual
Gender
Female
Address
4500 College Ave, Alton, IL, 62025-3706
Phone Number
618-474-3800
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
Provider Business Practice Location Address Details
Address
4500 College Ave
City
State
Zip
62002-5051
Phone Number
618-474-3800
Fax Number
Provider Business Mailing Address Details
Address
4500 College Ave
City
State
Zip
62002-5051
Phone Number
618-474-3800
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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