Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A135422 | CA |
Y | 111NI0900X | Internist | A135422 | CA |
NPI | 1003173071 |
---|---|
Provider Name | Sarthi Rakshen Shah |
First Address | Mission Hills, CA 91346-9602 |
Second Address | Mission Hills, CA 91345-1116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 26/10/2015 |