Setu Shah

NPI #1902554843 in Rockford, Illinois

Provider Information

NPI Number: 1902554843
Entity Type: Individual
Name: Setu Shah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Mar 10, 2022
Last Updated: Mar 10, 2022

Practice Location

Address: 5411 E STATE ST STE 4
City: Rockford
State: Illinois
ZIP Code: 61108-2908
Phone: (224) 310-8328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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