Individual
HELY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 HOSPITAL DRIVE, STE 207, UKIAH, CA 95482
(707) 463-7627
(707) 463-7420
Mailing address
357 YOLANDA AVE APT 308, SANTA ROSA, CA 95404-6458
(650) 304-2360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
191965
CA
207RX0202X
Medical Oncology Physician
Primary
191965
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/03/2023
Last updated
05/08/2024
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