Shah, Disha

Shah, Disha is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Suite 175, Louisville KY 40205-3340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as her primary health care specialty. Shah, Disha can be contacted via phone (502) 361-6055.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Suite 175 Louisville KY 40205-3340
Phone: (502) 361-6055
Fax: (502) 361-6087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD439334 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 46305 Kentucky

Profile Details

NPI number 1366671265
LBN Legal business name Shah, Disha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Feb 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366671265 NPPES
Kentucky MEDICAID 7100250160
Kentucky Other P01253581

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