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Organization
SHASHI K. SHAH M D INC
Active
Organization
SHASHI K. SHAH M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHASHI K SHAH MD (OWNER)
(909) 946-2828
Entity
Organization
Contact information
Practice address
600 N MOUNTAIN AVE, SUITE D100, UPLAND, CA 91786-4359
(909) 946-2828
(909) 946-4288
Mailing address
600 N MOUNTAIN AVE, SUITE D100, UPLAND, CA 91786-4359
(909) 946-2828
(909) 946-4288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9599928
—
CA
Enumeration date
05/17/2007
Last updated
01/27/2011
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