Individual
DR. NISSAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 HILLMONT AVE STE 401, VENTURA, CA 93003-1651
(805) 648-9830
Mailing address
3265 S. SEPULVEDA BLVD., #208, LOS ANGELES, CA 90034
(310) 390-9317
(310) 423-0440
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A84201
CA
Other
Enumeration date
05/02/2007
Last updated
11/13/2023
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