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Organization
SHAH & KHEDIA MEDICAL DOCTORS INC
Active
Organization
SHAH & KHEDIA MEDICAL DOCTORS INC
Active
Other names
SOUTHERN CALIFORNIA SNF SPECIALIST SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
HIREN C SHAH MD (OWNER)
(626) 810-3330
Entity
Organization
Contact information
Practice address
18335 VALLEY BLVD, LA PUENTE, CA 91744-5968
(626) 810-3330
(626) 964-0440
Mailing address
18335 VALLEY BLVD, LA PUENTE, CA 91744-5968
(626) 810-3330
(626) 964-0440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A56166
CA
207RN0300X
Nephrology Physician
A42703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP39178
MEDICAL BOARD OF CA FICTITIOUS NAME PERMIT
CA
Enumeration date
08/18/2009
Last updated
08/18/2009
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