Organization
SHAKE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAYNA PATEL (OWNER)
(714) 913-0801
Entity
Organization
Contact information
Practice address
412 MADISON DR, SAN JOSE, CA 95123-5025
(714) 913-0801
Mailing address
412 MADISON DR, SAN JOSE, CA 95123-5025
(714) 913-0801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57902
PHYSICIAN'S ASSISTANT
CA
Enumeration date
03/16/2023
Last updated
03/16/2023
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