MEDICARE: INDEPENDENT MEDICAL SPECIALISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1972385078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT MEDICAL SPECIALISTS INC

Provider Business Mailing Address
First Line	:	6569 N RIVERSIDE DR # 102504
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-9318
Country	:	US
Telephone Number	:	559-367-8432
Fax Number	:

Provider Business Practice Location Address
First Line	:	7121 N WHITNEY AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0151
Country	:	US
Telephone Number	:	559-550-3511
Fax Number	:	937-795-3327

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KANDARP SHAH
Credential	:	MD
Telephone Number	:	559-367-8432

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	05/14/2025

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