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Organization
KRUPA SHAH MD, A PROFESSIONAL CORPORATION
Active
Organization
KRUPA SHAH MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRUPA SHAH MD (CHIEF EXECUTIVE OFFICER)
(310) 832-5331
Entity
Organization
Contact information
Practice address
1294 W 6TH ST STE 204, SAN PEDRO, CA 90731-2998
(310) 832-5331
(310) 521-0139
Mailing address
1294 W 6TH ST STE 204, SAN PEDRO, CA 90731-2998
(310) 832-5331
(310) 521-0139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
07/21/2022
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