Organization
CHUNILAL SHAH MD INC
Active
Parent organization
CHUNILAL SHAH MD INC
Other names
CHUNILAL SHAH MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHUNILAL SHAH MD INC
Authorized official
DR. CHUNILAL SHAH M.D. (PHYSICIAN)
(562) 947-1619
Entity
Organization
Contact information
Practice address
15651 IMPERIAL HWY STE 104, LA MIRADA, CA 90638-1600
(562) 947-1619
(562) 947-5969
Mailing address
15651 IMPERIAL HWY STE 104, LA MIRADA, CA 90638-1600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A33116
CA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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