Individual
DR. PRATIK BHARAT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-2743
Mailing address
326 I ST, DAVIS, CA 95616-4215
(201) 650-6377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.143009
IL
207R00000X
Internal Medicine Physician
A164944
CA
207RN0300X
Nephrology Physician
036.143009
IL
207RN0300X
Nephrology Physician
Primary
A164944
CA
Other
Enumeration date
06/03/2010
Last updated
01/23/2020
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