Shah, Manilal B

Shah, Manilal B is an individual health care provider with primary practice located at 2211 Mayfair Dr Suite 202, Owensboro KY 42301-4568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shah, Manilal B can be contacted via phone (270) 688-4480.

Contact Information

Primary practice address
2211 Mayfair Dr Suite 202 Owensboro KY 42301-4568
Phone: (270) 688-4480
Fax: (270) 688-4489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 22408 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22408 Kentucky

Profile Details

NPI number 1720186513
LBN Legal business name Shah, Manilal B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 19th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720186513 NPPES
Kentucky MEDICAID 64224082

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