Shah, Mrunalini B
Shah, Mrunalini B is an individual health care provider with primary practice located at 1130 Louisiana Ave , Shreveport LA 71101-3908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Shah, Mrunalini B can be contacted via phone (318) 678-4472.Contact Information
Primary practice address
1130 Louisiana Ave
Shreveport LA 71101-3908
Phone: (318) 678-4472
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | L40598R | Louisiana |
Profile Details
| NPI number | 1457320616 |
|---|---|
| LBN Legal business name | Shah, Mrunalini B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1457320616 | NPPES |
| Louisiana | MEDICAID | 1308455 |
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