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Individual

NIMEESH K SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 S. BASCOM AVENUE, SANTA CLARA VALLEY MEDICAL CENTER, SAN JOSE, CA 95128-2604
(408) 885-7947
Mailing address
751 S. BASCOM AVENUE, SANTA CLARA VALLEY MEDICAL CENTER, SAN JOSE, CA 95128-2604
(408) 885-7947

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036117494
IL
207R00000X
Internal Medicine Physician
A104433
CA
207RG0100X
Gastroenterology Physician
Primary
A104433
CA

Other

Enumeration date
03/27/2007
Last updated
07/18/2011
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