Individual
AMISH AJIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 DUBLIN BLVD STE 120, DUBLIN, CA 94568-4363
(925) 556-5800
Mailing address
3100 DUBLIN BLVD STE 120, DUBLIN, CA 94568-4363
(925) 556-5800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
249421
NY
2085R0001X
Radiation Oncology Physician
Primary
C149156
CA
2085R0001X
Radiation Oncology Physician
MD2011-0407
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99851555
—
NM
Enumeration date
01/16/2007
Last updated
12/21/2021
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