Individual provider · Type 1 NPI
Vipinchandra K. Shah
General Practice Physician · Edwardsville, IL
NPI number
1265454995
Active
Practice location
26 Camelot Dr
Edwardsville, IL 62025-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036053494 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1265454995
Vipinchandra K. Shah's National Provider Identifier is 1265454995, issued on Jul 24, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Edwardsville, IL. The record was last updated on Jun 26, 2012.