Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 036.119828 | IL |
Y | 207RR0500X | Rheumatology | A77436 | CA |
NPI | 1144227182 |
---|---|
Provider Name | Dr. Neha S Shah |
First Address | Palo Alto, CA 94304-1811 |
Second Address | Palo Alto, CA 94304-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2005 |
Last Update Date | 25/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I27471 | (02) | FL |