Individual
AVNI A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3035 CLEVELAND AVE STE 100, SANTA ROSA, CA 95403-2122
(708) 623-8200
Mailing address
3035 CLEVELAND AVE STE 100, SANTA ROSA, CA 95403-3037
(707) 546-9800
(707) 899-7980
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
269995
MA
207W00000X
Ophthalmology Physician
A163015
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
269995
MA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
A163015
CA
Other
Enumeration date
03/26/2013
Last updated
06/17/2026
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