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General NPI Number Information
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NPI Number | 1801974910
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Entity Type | Individual
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Provider Name | RINA P. SHAH MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 5720 STONERIDGE MALL RD STE 240
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City | PLEASANTON
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State | CA
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Zip | 94588-2828
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Country | US
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Telephone | 650-497-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 EMBARCADERO RD STE 100
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City | PALO ALTO
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State | CA
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Zip | 94303-3341
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Country | US
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Telephone | 650-497-8000
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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 | A77904
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License Number State | CA
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