Individual
BIMALROY N. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 HIGHLAND AVE, SELMA, CA 93662-3392
(559) 898-6165
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A92780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A927800
—
CA
Enumeration date
11/01/2006
Last updated
12/20/2021
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