# SHAKU NAGPAL, MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639662455
- **Authorized official:** SHAKU NAGPAL MD (OWNER)
- **Authorized official phone:** (650) 996-4123

## Contact information

- **Practice address:** 2100 FOREST AVE STE 102, SAN JOSE, CA 95128
- **Practice address phone:** (650) 996-4123
- **Practice address fax:** (650) 941-4903
- **Mailing address:** 28555 MATADERO CREEK LN, LOS ALTOS HILLS, CA 94022-2457
- **Mailing address phone:** (650) 996-4123
- **Mailing address fax:** (650) 941-4903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | A25652 | CA | Yes |

## Other

- **Enumeration date:** 06/07/2018
- **Last updated:** 06/11/2018