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General NPI Number Information
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NPI Number | 1316259864
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Entity Type | Individual
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Provider Name | NISHIT SHASHIKANT SHAH M.D
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 40910 FREMONT BLVD STE 300
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City | FREMONT
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State | CA
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Zip | 94538-4375
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Country | US
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Telephone | 510-770-8040
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Fax | 510-770-8141
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Provider Business Mailing Address
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Address Line | 5504 MONTEREY HWY
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City | SAN JOSE
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State | CA
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Zip | 95138-1529
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Country | US
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Telephone | 510-770-8040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A167291
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License Number State | CA
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