Individual
DR. GAURAV K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1445 BUSH ST, SAN FRANCISCO, CA 94109-5520
(415) 972-4600
(415) 975-0999
Mailing address
2201 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-1870
(314) 367-1181
(314) 968-5117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G186226
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
G186226
CA
Other
Enumeration date
07/18/2005
Last updated
08/30/2023
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