Individual
DR. MRUGESH C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 W JANSS RD, PATHOLOGY DEPARTMENT, THOUSAND OAKS, CA 91360-1847
(805) 373-8582
Mailing address
2190 LYNN RD, SUITE 220, THOUSAND OAKS, CA 91360-1980
(805) 495-8050
(805) 496-2160
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A91950
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A91950
CA
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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