Individual
ANUJA P. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST BLDG N-28, TORRANCE, CA 90502-2004
(310) 222-3891
(310) 782-1837
Mailing address
1000 W CARSON ST, C1 ANNEX, TORRANCE, CA 90502-2004
(310) 222-3891
(310) 782-1837
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A96125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6447
RRM
CA
01
—
M050376
GROUP
CA
Enumeration date
04/09/2007
Last updated
12/23/2019
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