# SAMIR B. SHAH, MD, INC.

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

## Provider details

- **NPI number:** 1689819039
- **Authorized official:** DR. SAMIR BIPIN SHAH MD (PRESIDENT)
- **Authorized official phone:** (925) 296-6100

## Contact information

- **Practice address:** 301 LENNON LN, SUITE 201, WALNUT CREEK, CA 94598-2483
- **Practice address phone:** (925) 296-6100
- **Practice address fax:** (925) 932-8650
- **Mailing address:** 301 LENNON LN, SUITE 201, WALNUT CREEK, CA 94598-2483
- **Mailing address phone:** (925) 296-6100
- **Mailing address fax:** (925) 932-8650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A68255 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2008
- **Last updated:** 10/19/2009