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NPI Code Detail

MEDICARE: AALOK DEVENDRA SHAH M.D.

MEDICARE: AALOK DEVENDRA SHAH M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianC55973CA
2207RP1001XPulmonary Disease PhysicianC55973CA
3207R00000XInternal Medicine PhysicianC55973CA

General Provider Information

NPI Number : 1568429678
Entity Type Code : Individual
Provider Name (Legal Business Name) : AALOK DEVENDRA SHAH M.D.
Provider Business Mailing Address
First Line : 242 CAJON ST
Second Line :
City : REDLANDS
State : CA
Zip : 92373-5202
Country : US
Telephone Number : 909-335-4118
Fax Number :
Provider Business Practice Location Address
First Line : 6109 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-3051
Country : US
Telephone Number : 951-845-0313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 08/09/2013

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