Individual
BHARAT H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S BUENA VISTA ST, SUITE 100, BURBANK, CA 91505-4569
(818) 848-6404
(818) 848-7112
Mailing address
3452 E FOOTHILL BLVD, SUITE 130, PASADENA, CA 91107-3142
(626) 793-2885
(626) 793-6262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A039286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A392860
—
CA
01
—
W2223
PTAN 2
CA
01
—
W2223C
PTAN
CA
Enumeration date
06/22/2006
Last updated
07/01/2015
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