# CHUNILAL SHAH MD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHUNILAL SHAH MD INC
- **Other names:** CHUNILAL SHAH MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699092692
- **Legal business name:** CHUNILAL SHAH MD INC
- **Authorized official:** DR. CHUNILAL SHAH M.D. (PHYSICIAN)
- **Authorized official phone:** (562) 947-1619

## Contact information

- **Practice address:** 15651 IMPERIAL HWY STE 104, LA MIRADA, CA 90638-1600
- **Practice address phone:** (562) 947-1619
- **Practice address fax:** (562) 947-5969
- **Mailing address:** 15651 IMPERIAL HWY STE 104, LA MIRADA, CA 90638-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A33116 | CA | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010