Individual
AMOL MUKESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(510) 449-6034
Mailing address
43245 LUZON DR, FREMONT, CA 94539-5731
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A167794
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A167794
CA
Other
Enumeration date
07/18/2014
Last updated
08/03/2020
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