Shah, Harshal

Shah, Harshal is an sole proprietor health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shah, Harshal can be contacted via phone (719) 584-4921.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Fax: (719) 595-7994
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0052293 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52293 Colorado

Profile Details

NPI number 1790922847
LBN Legal business name Shah, Harshal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2009
Last updated Jan 25th, 2019 - about 6 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 1790922847 NPPES
Colorado MEDICAID 00022586

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