Individual
DR. SAMIR HEMENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
431 S BATAVIA ST, STE 103, ORANGE, CA 92868-3936
(714) 571-5000
(714) 571-5055
Mailing address
PO BOX 14005, ORANGE, CA 92863-1405
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
456943
WA
2085R0202X
Diagnostic Radiology Physician
Primary
A146967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341461
LNI
WA
01
—
341466
LNI
WA
01
—
MD60456943
MEDICAL LICENSE
WA
Enumeration date
06/22/2009
Last updated
02/23/2017
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