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Organization

NITIN A SHAH MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NITIN KUMAR A SHAH MD (OWNER)
(661) 945-7802
Entity
Organization

Contact information

Practice address
44215 15TH ST WEST, #110, LANCASTER, CA 93534
(661) 945-7802
(661) 949-5872
Mailing address
44215 15TH ST WEST, #110, LANCASTER, CA 93534
(661) 945-7802
(661) 949-5872

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A33933
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A33933
CA
Enumeration date
07/26/2010
Last updated
07/26/2010
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