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Organization

NAYAN SHAH MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAYAN SHAH M.D. (PRESIDENT)
(909) 268-3899
Entity
Organization

Contact information

Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 268-3899
(909) 598-8307
Mailing address
1142 S DIAMOND BAR BLVD, SUITE 186, DIAMOND BAR, CA 91765-2203
(909) 268-3899
(909) 598-8307

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A40253
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MEDICAL LICENSE
A40253
CA
Enumeration date
06/22/2009
Last updated
06/22/2009
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