Shah, Neil Ashvin

Shah, Neil Ashvin is an individual health care provider with primary practice located at 900 Long Lake Rd Ste 150 , New Brighton MN 55112-6414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Shah, Neil Ashvin can be contacted via phone (612) 213-2370.

Contact Information

Primary practice address
900 Long Lake Rd Ste 150 New Brighton MN 55112-6414
Phone: (612) 213-2370
Fax: (612) 524-5571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 50969 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 50969 Minnesota

Profile Details

NPI number 1487844205
LBN Legal business name Shah, Neil Ashvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Jun 6th, 2023 - about 2 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 1487844205 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00813436

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