Individual provider · Type 1 NPI
Madhuri Shah, MD
Clinic/Center · Salt Lake City, UT
NPI number
1124156906
Active
Practice location
515 S 400 E
Salt Lake City, UT 84111-3501
Fax (801) 363-9051
Mailing address
515 So 400 E
Salt Lake City, UT 84111-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 164193-1203 (UT) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1124156906
Madhuri Shah, MD's National Provider Identifier is 1124156906, issued on Mar 1, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.