Organization
SHAH SPINE MD, INC
Active
Organization
SHAH SPINE MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEEL PRAVIN SHAH MD (ORTHOPEDIC SURGEON)
(949) 988-7800
Entity
Organization
Contact information
Practice address
3501 JAMBOREE RD STE 1250, NEWPORT BEACH, CA 92660-2939
(949) 988-7800
Mailing address
3501 JAMBOREE RD STE 1250, NEWPORT BEACH, CA 92660-2939
(949) 988-7800
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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