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NPI Code Detail

MEDICARE: SMARANIKA SHAH PMHNP

MEDICARE: SMARANIKA SHAH PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95034006CA

General Provider Information

NPI Number : 1588467153
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMARANIKA SHAH PMHNP
Provider Business Mailing Address
First Line : 8983 UPBEAT WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-5535
Country : US
Telephone Number : 916-582-0980
Fax Number :
Provider Business Practice Location Address
First Line : 8983 UPBEAT WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-5535
Country : US
Telephone Number : 916-582-0980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “ SMARANIKA SHAH PMHNP” Practice Location

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