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Individual
SAMIR PRANAV SHAH
Active
Individual
SAMIR PRANAV SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1255952503
CA
174400000X
Specialist
A177207
CA
174400000X
Specialist
PTL3229
CA
2084P0800X
Psychiatry Physician
Primary
A177207
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
03/10/2026
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