Individual
RIAZ ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 668-2600
(530) 662-7330
Mailing address
3400 DATA DR, QUALITY DEPARTMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
036117369
IL
208600000X
Surgery Physician
036117369
IL
208600000X
Surgery Physician
Primary
C134519
CA
Other
Enumeration date
09/03/2008
Last updated
01/17/2017
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