# DEVAL A. SHAH, M.D., APMC

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

## Provider details

- **NPI number:** 1962268466
- **Authorized official:** DR. DEVAL AJIT SHAH MD (OWNER)
- **Authorized official phone:** (650) 714-9820

## Contact information

- **Practice address:** 12625 HIGH BLUFF DR STE 202, SAN DIEGO, CA 92130-2053
- **Practice address phone:** (650) 733-4345
- **Practice address fax:** (253) 455-7891
- **Mailing address:** 12625 HIGH BLUFF DR STE 202, SAN DIEGO, CA 92130-2053
- **Mailing address phone:** (650) 733-4345
- **Mailing address fax:** (253) 455-7891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 02/23/2024