Individual
SARA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
1333 S MAYFLOWER AVE 2ND FLR, MONROVIA, CA 91016-4066
(626) 775-3514
(626) 408-3911
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A24730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A247300
—
CA
Enumeration date
05/16/2006
Last updated
08/24/2015
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