Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 44714 | KY |
NPI | 1649390543 |
---|---|
Provider Name | Dr. Malay Bipin Shah |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0293 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 25/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20346 | (02) | GA |