Organization
PURNIMA B. SHAH, M.D., INC, A CALIFORNIA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNIMA SHAH I M.D. (PRESIDENT)
(818) 902-3967
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2951
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
12/13/2007
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