Healthcare Provider Details

I. General information

NPI: 1053744375
Provider Name (Legal Business Name): SWETANG J SHAH M.D., M.P.H
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2013
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 W 8TH ST
HANFORD CA
93230-4533
US

IV. Provider business mailing address

305 E CENTER AVE
VISALIA CA
93291-6331
US

V. Phone/Fax

Practice location:
  • Phone: 559-737-4700
  • Fax:
Mailing address:
  • Phone: 559-737-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number136884
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: