Individual
CHANDRAKANT V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 VIVALDI ST, CARDIFF BY THE SEA, CA 92007-2346
(760) 633-3044
(760) 633-3044
Mailing address
1555 VIVALDI ST, CARDIFF BY THE SEA, CA 92007-2346
(858) 922-8354
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C51128
CA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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