Individual
DR. SHABANA KHAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
393 E WALNUT STREET, 3RD FLOOR, PASADENA, CA 91188-2507
(310) 809-9103
Mailing address
26526 CRAFTSMEN CT, SANTA CLARITA, CA 91350-5726
(310) 809-9103
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A86063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6447
RAILROAD
CA
01
—
M050376
HARBOR UCLA MEDICAL CENTER
CA
Enumeration date
08/08/2007
Last updated
06/30/2009
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