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Individual

JAMES S SHAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3765 E BLUE LUPINE DR STE D, WASILLA, AK 99654-8417
(907) 707-1671
Mailing address
3765 E BLUE LUPINE DR STE D, WASILLA, AK 99654-8417
(907) 707-1671

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
193256
AK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
193256
AK

Other

Enumeration date
06/05/2011
Last updated
12/17/2025
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