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Individual
SIDDHARTH SHAH
Active
Individual
SIDDHARTH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA61439
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
10/10/2025
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