Individual
DR. AJIT CHUNILAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15651 IMPERIAL HWY STE 104, LA MIRADA, CA 90638-1600
(562) 947-1619
(562) 947-5969
Mailing address
15651 IMPERIAL HWY STE 104, LA MIRADA, CA 90638-1600
(562) 947-1619
(562) 947-5969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A73798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00737980
—
CA
Enumeration date
09/27/2006
Last updated
07/18/2012
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