Individual
DR. OMER PARVEZ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD # 220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
Mailing address
8700 BEVERLY BLVD # 220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A135087
CA
208M00000X
Hospitalist Physician
Primary
A135087
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/10/2013
Last updated
05/05/2017
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