Individual
KAIRAV RAMESHCHANDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 MCHENRY AVE STE 445, MODESTO, CA 95350-4573
(209) 571-1693
Mailing address
1524 MCHENRY AVE STE 445, MODESTO, CA 95350-4573
(209) 571-1693
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
268942
NY
2084P0800X
Psychiatry Physician
Primary
A142095
CA
208VP0000X
Pain Medicine Physician
ME134702
FL
Other
Enumeration date
09/07/2012
Last updated
02/08/2024
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