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Individual

DR. PRINCE SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9460 N NAME UNO, STE. 130, GILROY, CA 95020-3537
(408) 848-8336
Mailing address
9460 N NAME UNO, STE. 130, GILROY, CA 95020-3537
(408) 848-8336

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A64458
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A644581
CA
Enumeration date
08/30/2006
Last updated
10/24/2016
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