Neil Ashvin Shah
Dermatologist MOHS-Micrographic Surgeon
2603 39th Ave Ne Ste D202
Saint Anthony
, Minnesota 55421-4372
Neil Ashvin Shah
Dermatologist MOHS-Micrographic Surgeon
2603 39th Ave Ne Ste D202
Saint Anthony
, Minnesota 55421-4372
(612) 213-2370
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Neil Ashvin Shah
- 2603 39th Ave Ne Ste D202
- Saint Anthony, MN
- Zip : 55421-4372
- Fax : (612) 213-2370
- Phone : (612) 213-2370
Second Address
- Neil Ashvin Shah
- 2603 39th Ave Ne Ste D202
- Saint Anthony, MN
- Zip : 55421-4372
- Fax : (612) 213-2370
- Phone : (612) 213-2370
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 50969 | MN |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 50969 | MN |
National Provider Identifier
| NPI | 1487844205 |
|---|---|
| Provider Name | Neil Ashvin Shah |
| First Address | Saint Anthony, MN 55421-4372 |
| Second Address | Saint Anthony, MN 55421-4372 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2007 |
| Last Update Date | 28/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ENROLLED | (05) | MN |
| P00813436 | RAILROAD MEDICARE (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.