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NPI Code Detail

MEDICARE: DR. KANDARP SHAH M.D.

MEDICARE: DR. KANDARP 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
1207RG0100XGastroenterology PhysicianC52145CA

General Provider Information

NPI Number : 1801815352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KANDARP SHAH M.D.
Provider Business Mailing Address
First Line : 4180 W ALLUVIAL AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-9706
Country : US
Telephone Number : 559-800-1366
Fax Number :
Provider Business Practice Location Address
First Line : 7774 DAYTON SPRINGFIELD RD
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-1957
Country : US
Telephone Number : 937-716-1226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/10/2023

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Directions to “ DR. KANDARP SHAH M.D.” Practice Location

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