Individual
DR. MUKUND G SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38660 MEDICAL CENTER DR, SUITE A-380, PALMDALE, CA 93551-4385
(661) 948-5928
(661) 948-2210
Mailing address
38660 MEDICAL CENTER DR, SUITE A-380, PALMDALE, CA 93551-4385
(661) 948-5928
(661) 948-2210
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A31073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A310730
—
CA
05
—
ZZZ8386Z
—
CA
Enumeration date
10/18/2006
Last updated
07/25/2013
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