Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A117974 | CA |
NPI | 1043453079 |
---|---|
Provider Name | Harshit Rajeshbhai Shah |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Bakersfield, CA 93311-3621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 03/04/2018 |