Individual
NISHA NITIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43112 15TH ST W, WEST BLDG DEPT OF ALLERGY LANCASTER MOB, LANCASTER, CA 93534-6219
(661) 729-7100
Mailing address
43112 15TH ST W, WEST BLDG DEPT OF ALLERGY LANCASTER MOB, LANCASTER, CA 93534-6219
(661) 729-7100
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A110678
CA
208000000X
Pediatrics Physician
A110678
CA
Other
Enumeration date
10/08/2008
Last updated
12/08/2021
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