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Individual

DR. ASAD A. SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 550-1148
Mailing address
1031 NEWPORT AVE, GROVER BEACH, CA 93433-1713
(805) 550-1148

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.091793
OH
207R00000X
Internal Medicine Physician
Primary
A105508
CA

Other

Enumeration date
03/29/2007
Last updated
04/27/2011
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