Ashland Bellefonte OB-GYN

Organization Active NPI Specialist · Ashland, KY

NPI 1497970487 · NPPES record last updated Jan 30, 2008

Key facts

NPI
1497970487
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
19399 (KY)
Legal business name
ASHLAND BELLEFONTE OB-GYN
Practice address
1101 Saint Christopher Dr
Ste. 340
Ashland, KY 41101-7087
Phone
(606) 836-8188
Fax
(606) 836-8177
NPI assigned
Apr 16, 2007
Organization subpart
No

Authorized official

Name
Dr. Mrudula J Shah, M.D.
Title
Physician
Phone
(606) 836-8188

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1101 Saint Christopher Dr
Ste 340
Ashland, KY 41101
Phone (606) 833-4263

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 19399 KY Yes

Addresses

Primary practice location

1101 Saint Christopher Dr
Ste. 340
Ashland, KY 41101-7087

Mailing address

PO Box 2256
Ashland, KY 41105-2256
Phone (606) 836-8188

Other identifiers

IdentifierTypeStateIssuer
64193998MedicaidKY

Other providers in Ashland, KY

All providers in Ashland, KY · Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.