Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0437326 | KS |
NPI | 1043590292 |
---|---|
Provider Name | Paras P Shah |
First Address | Kansas City, MO 64131-4510 |
Second Address | Kansas City, MO 64131-4510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 19/02/2016 |