Shah, Disha
Shah, Disha is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Suite 175, Louisville KY 40205-3340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as her primary health care specialty. Shah, Disha can be contacted via phone (502) 361-6055.Contact Information
Primary practice address
6400 Dutchmans Pkwy Suite 175
Louisville KY 40205-3340
Phone: (502) 361-6055
Fax: (502) 361-6087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD439334 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 46305 | Kentucky |
Profile Details
| NPI number | 1366671265 |
|---|---|
| LBN Legal business name | Shah, Disha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2009 |
| Last updated | Feb 4th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366671265 | NPPES |
| Kentucky | MEDICAID | 7100250160 | |
| Kentucky | Other | P01253581 |
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