Individual
DR. SAYANA R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1043 ELM AVE STE 110, LONG BEACH, CA 90813-3244
(562) 491-9890
(562) 491-9091
Mailing address
1043 ELM AVE STE 110, LONG BEACH, CA 90813-3244
(562) 491-9890
(562) 491-9091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A119100
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A119100Z63
CALOPTIMA
CA
05
—
1972793917
—
CA
01
—
7696936
CIGNA
CA
01
—
9893903
AETNA
CA
01
—
P01090150
RAILROAD MEDICARE
CA
Enumeration date
07/26/2007
Last updated
08/14/2024
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