Individual
RONAK CHANDRAKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A93749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A937490
—
CA
Enumeration date
06/24/2006
Last updated
06/23/2010
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