Individual
SURAJ NIKHIL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39111 PASEO PADRE PKWY STE 109, FREMONT, CA 94538-1615
(510) 453-0273
Mailing address
35948 CARNATION WAY, FREMONT, CA 94536-2638
(510) 453-0273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86329
CA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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