Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A16517 | CA |
Y | 2080P0202X | Pediatric Cardiologist | 20A16517 | CA |
N | 2080P0202X | Pediatric Cardiologist | A16517 | CA |
NPI | 1073804860 |
---|---|
Provider Name | Ms. Anar K Shah |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 21/08/2019 |