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Individual

DR. SOORAJ M SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1640 NEWPORT BLVD STE 445, COSTA MESA, CA 92627-7730
(714) 241-9070
(949) 889-2260
Mailing address
1640 NEWPORT BLVD STE 445, COSTA MESA, CA 92627-7730
(714) 241-9070
(949) 889-2260

Taxonomy

Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
276483
NY
207RC0000X
Cardiovascular Disease Physician
276483
NY
207RC0000X
Cardiovascular Disease Physician
Primary
C170604
CA
207RI0011X
Interventional Cardiology Physician
276483
NY

Other

Enumeration date
12/10/2008
Last updated
10/16/2024
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