Individual
KAYUR HARSUKH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 365-9531
(818) 869-7242
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A70872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A708720
—
CA
Enumeration date
07/31/2006
Last updated
04/03/2014
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