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General NPI Number Information
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NPI Number | 1629601588
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Entity Type | Organization
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Legal Business Name | TRILOK SHAH, MD
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 15335 MORRISON ST STE 385
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1571
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Country | US
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Telephone | 773-916-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 15335 MORRISON ST STE 385
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1571
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Country | US
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Telephone | 773-916-7595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRILOK SHAH
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Credential | MD
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Telephone | 773-916-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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