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NPI Code Detail

MEDICARE: SAGAR ATUL SHAH

MEDICARE: SAGAR ATUL 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
1183500000XPharmacist85038CA

General Provider Information

NPI Number : 1437829876
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAGAR ATUL SHAH
Provider Business Mailing Address
First Line : 316 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 316 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3729
Country : US
Telephone Number : 310-540-9183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 10/04/2021

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Directions to “ SAGAR ATUL SHAH ” Practice Location

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