Individual
SHIVANG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 E LATHAM AVE STE A, HEMET, CA 92543-4424
(951) 652-5555
Mailing address
1275 E LATHAM AVE, STE A, HEMET, CA 92543-4424
(951) 652-5555
(951) 766-6611
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A161436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065368
—
AZ
Enumeration date
04/16/2009
Last updated
07/01/2019
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