Individual
MEENAL AMISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
447 W EATON AVE, TRACY, CA 95376-3420
(209) 830-4063
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A99476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99476
MEDICAL BOARD OF CALIFORN
CA
Enumeration date
06/08/2007
Last updated
07/10/2013
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