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Individual

SAURABH B SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 E 2ND AVE, ESCONDIDO, CA 92025-4249
(760) 291-6700
(760) 737-7324
Mailing address
225 E 2ND AVE, ESCONDIDO, CA 92025-4249
(760) 291-6700
(760) 737-7324

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
30835651205
UT
207Y00000X
Otolaryngology Physician
Primary
A62633
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB258485
MEDICARE PTAN
CA
Enumeration date
07/07/2006
Last updated
12/13/2024
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