Nikita Mukesh Shah
Surgeon Surgical Oncologist
425 Haaland Dr Ste 101
Thousand Oaks
, California 91361-5230
Nikita Mukesh Shah
Surgeon Surgical Oncologist
425 Haaland Dr Ste 101
Thousand Oaks
, California 91361-5230
(972) 234-0813
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Nikita Mukesh Shah
- Po Box 512185
- Los Angeles, CA
- Zip : 90051-0185
- Fax : (972) 234-0813
- Phone :
Second Address
- Nikita Mukesh Shah
- 425 Haaland Dr Ste 101
- Thousand Oaks, CA
- Zip : 91361-5230
- Phone : (805) 496-2949
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 4301112575 | MI |
| N | 208600000X | Surgeon | 4301112575 | MI |
| N | 208200000X | Surgeon | R7322 | TX |
| N | 208600000X | Surgeon | R7322 | TX |
| Y | 2086X0206X | Surgical Oncologist | A170065 | CA |
National Provider Identifier
| NPI | 1073889002 |
|---|---|
| Provider Name | Nikita Mukesh Shah |
| First Address | Los Angeles, CA 90051-0185 |
| Second Address | Thousand Oaks, CA 91361-5230 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2012 |
| Last Update Date | 11/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 387124602 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.