DR. Kishan Mitesh Shah, MD

NPI #1710449764 in Taos, New Mexico

Provider Information

NPI Number: 1710449764
Entity Type: Individual
Name: DR. Kishan Mitesh Shah, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Apr 1, 2019
Last Updated: Oct 24, 2024

Practice Location

Address: 1353 PASEO DEL PUEBLO SUR STE D
City: Taos
State: New Mexico
ZIP Code: 87571-5958
Phone: (575) 613-8090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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