Krupa Shah M.D.

NPI 1083655369 - Family Medicine - 207Q00000X

NPI Details
NPI 1083655369
Gender Female
Enumeration Date 06/09/2006
Last Updated 03/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1294 W 6TH ST
SUITE 204
SAN PEDRO CA, 90731-2987, US
Phone (310) 832-5331
Fax (310) 521-0139
Business Location
1294 W 6TH ST
SUITE 204
SAN PEDRO CA, 90731-2987, US
Phone (310) 832-5331
Fax (310) 521-0139
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A42668
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According to our database, Krupa Shah M.D. NPI is 1083655369, taxonomy code is 207Q00000X and license number is A42668, license state is located at California. Krupa Shah M.D. physically located at 1294 W 6th St, San Pedro CA, 90731-2987. NPI Number Krupa Shah M.D. has the Individual type.

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1083655369 NPI number is provided on an as is basis without warranty of any kind. 1083655369 is maintained by the National Plan & Provider Enumeration System. The contents of Krupa Shah M.D. are for informational purposes only.