Individual
DR. ANISH SUNDERRAJAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
(707) 206-7254
Mailing address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
(707) 206-7254
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A84992
CA
Other
Enumeration date
08/20/2007
Last updated
02/08/2018
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