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Individual

GAURANG S SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-3457
Mailing address
10800 MAGNOLIA AVE, UROLOGY, RIVERSIDE, CA 92505-3043
(951) 353-3457

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A95699
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2729042
OH
Enumeration date
03/21/2007
Last updated
11/29/2021
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