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Individual

DR. MITA MANHAR SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A71739
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A717390
CA
Enumeration date
05/04/2006
Last updated
08/14/2019
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