Individual
HAIMESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 N PONDEROSA DR, SUTIE A101, CAMARILLO, CA 93010-2398
(805) 389-5944
Mailing address
2460 N PONDEROSA DR, SUTIE A101, CAMARILLO, CA 93010-2398
(805) 389-5944
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
A108019
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
A108019
CA
208M00000X
Hospitalist Physician
A108019
CA
Other
Enumeration date
04/17/2009
Last updated
08/30/2015
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