Individual
DR. SAMIR ASHOK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18582 MAIN ST, ATTN: TRAILL MCCABE, HUNTINGTON BEACH, CA 92648-1701
(714) 965-9696
(714) 965-9797
Mailing address
18582 MAIN ST, ATTN: TRAILL MCCABE, HUNTINGTON BEACH, CA 92648-1701
(714) 965-9696
(714) 965-9797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301089354
MI
207W00000X
Ophthalmology Physician
Primary
A85961
CA
Other
Enumeration date
05/16/2006
Last updated
01/03/2014
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