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Individual

AVNI AJAY SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
SAN DIEGO VA HEALTHCARE SYSTEM 3350 LA JOLLA, SAN DIEGO, CA 92161-0001
(858) 552-8585
Mailing address
3935 BEACON AVE, STE A, FREMONT, CA 94538-1458
(510) 792-9900

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33792TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/07/2017
Last updated
07/21/2022
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