Organization
PACIFIC RETINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANKET U SHAH MD (PHYSICIAN)
(714) 732-1417
Entity
Organization
Contact information
Practice address
1109 S PARK VICTORIA DR, MILPITAS, CA 95035-6942
(714) 732-1417
Mailing address
7152 BON VILLA CIR, LA PALMA, CA 90623-1167
(714) 732-1417
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
10/24/2024
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