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Organization

VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION

Active
Other names
Antelope Valley Cancer Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MUKUND G SHAH M.D. (CORPORATE SECRETARY)
(661) 948-5928
Entity
Organization

Contact information

Practice address
607 W AVENUE Q STE A, PALMDALE, CA 93551-3872
(661) 948-5928
(661) 948-2210
Mailing address
607 W AVENUE Q STE A, PALMDALE, CA 93551-3872
(661) 948-5928
(661) 948-2210

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ83686Z
CA
Enumeration date
02/12/2007
Last updated
03/02/2026
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