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NPI Code Detail

MEDICARE: DANG NAMBISAN & SHAH

MEDICARE: DANG NAMBISAN & SHAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2208600000XSurgery PhysicianCA

General Provider Information

NPI Number : 1396864427
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANG NAMBISAN & SHAH
Provider Business Mailing Address
First Line : 2235 ROSEMOUNT LN
Second Line :
City : SAN RAMON
State : CA
Zip : 94582-5696
Country : US
Telephone Number : 209-834-5092
Fax Number : 209-834-5157
Provider Business Practice Location Address
First Line : 3800 JANES RD
Second Line :
City : ARCATA
State : CA
Zip : 95521-4742
Country : US
Telephone Number : 209-834-5092
Fax Number : 209-834-5157
Authorized Official
Title or Position : PARTNER
Name : RAKHEE SHAH
Credential :
Telephone Number : 925-858-3684
Provider Enumeration Date : 03/28/2007
Last Update Date : 01/13/2026

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Directions to “DANG NAMBISAN & SHAH ” Practice Location

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