Individual
DIGISH DINESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 15TH ST, # 2304, SANTA MONICA, CA 90404-1101
(310) 319-4698
(310) 319-4908
Mailing address
757 WESTWOOD PLZ, 7501, LOS ANGELES, CA 90095-8358
(310) 267-9643
(310) 267-3640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116712
CA
208M00000X
Hospitalist Physician
Primary
A116712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194098657
—
CA
Enumeration date
02/14/2012
Last updated
03/14/2017
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