NPI 1043926181

Vivek Prakash Shah

Practitioner Student in an Organized Health Care Education/Training Program Bowling Green, KY

Practice location

Address: 1131 Fairview Ave STE 305, Bowling Green, KY 42103-1708
Phone: (270) 348-4564
Mailing address: East 1st Avenue, Bowling Green, KY 42101

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043926181
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2023
Record last updated: 23 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.