Individual
ANOOP SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 ATLANTIC AVE, SUITE 712, LONG BEACH, CA 90813-3408
(562) 491-4879
(562) 491-7987
Mailing address
1045 ATLANTIC AVE, SUITE 712, LONG BEACH, CA 90813-3408
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A91301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A913010
—
CA
Enumeration date
11/10/2006
Last updated
02/01/2008
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