Organization
VIVEK SHAH MD PLLC
Active
Other names
28th Ave Medical
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK SHAH M.D. (THE DOCTOR)
(509) 576-0600
Entity
Organization
Contact information
Practice address
2802 W NOB HILL BLVD # A, YAKIMA, WA 98902-4982
(509) 576-0600
(509) 576-0602
Mailing address
2802 W NOB HILL BLVD # A, YAKIMA, WA 98902-4982
(509) 576-0600
(509) 576-0602
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WA
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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