Individual
MS. NIKITA PRAKASH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 750-7050
(415) 369-1389
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 750-7050
(415) 369-1389
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A173655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A173655
STATE MEDICAL LICENSE
CA
Enumeration date
05/11/2017
Last updated
03/09/2022
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