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General NPI Number Information
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NPI Number | 1699882894
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Entity Type | Individual
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Provider Name | NITIN SHAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 562-826-8000
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Fax | 562-826-5991
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Provider Business Mailing Address
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Address Line | 16220 RIDGEVIEW LN
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City | LA MIRADA
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State | CA
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Zip | 90638-3494
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Country | US
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Telephone | 562-902-0277
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Fax | 714-516-8286
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | A49385
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License Number State | CA
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