Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A166844 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | A166844 | CA |
NPI | 1326450040 |
---|---|
Provider Name | Kalpit N. Shah |
First Address | San Diego, CA 92127-5705 |
Second Address | Oceanside, CA 92054-5661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2014 |
Last Update Date | 10/09/2021 |