# NITIN A SHAH MD INC

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

## Provider details

- **NPI number:** 1689987166
- **Authorized official:** NITIN KUMAR A SHAH MD (OWNER)
- **Authorized official phone:** (661) 945-7802

## Contact information

- **Practice address:** 44215 15TH ST WEST, \#110, LANCASTER, CA 93534
- **Practice address phone:** (661) 945-7802
- **Practice address fax:** (661) 949-5872
- **Mailing address:** 44215 15TH ST WEST, \#110, LANCASTER, CA 93534
- **Mailing address phone:** (661) 945-7802
- **Mailing address fax:** (661) 949-5872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A33933 | CA | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A33933 | — | CA |
