Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 1013448331 | CA |
NPI | 1013448331 |
---|---|
Provider Name | Aashini Shah |
First Address | Bakersfield, CA 93301-2014 |
Second Address | Bakersfield, CA 93301-2014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2017 |
Last Update Date | 24/07/2020 |