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General NPI Number Information
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NPI Number | 1972385078
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Entity Type | Organization
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Legal Business Name | INDEPENDENT MEDICAL SPECIALISTS INC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 7121 N WHITNEY AVE
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City | FRESNO
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State | CA
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Zip | 93720-0151
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Country | US
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Telephone | 559-550-3511
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Fax | 937-795-3327
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Provider Business Mailing Address
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Address Line | 6569 N RIVERSIDE DR # 102504
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City | FRESNO
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State | CA
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Zip | 93722-9318
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Country | US
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Telephone | 559-367-8432
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KANDARP SHAH
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Credential | MD
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Telephone | 559-367-8432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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