Individual
ASHAY KIRTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N. MAIN, SUITE 300, SANTA ANA, CA 92701
(714) 480-6742
Mailing address
1200 N MAIN ST, SUITE 300, SANTA ANA, CA 92701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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