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Gautam J Shah, MD
Internal Medicine Physician in Encinitas, California
NPI 1063859502

Gautam J Shah is a Internal Medicine Physician based in Encinitas, CA. Gautam J Shah practices in Encinitas, CA and has the professional credentials of MD. The NPI Number for Gautam J Shah is 1063859502 and holds a License No. (California).

The current practice location address for Gautam J Shah is 354 Santa Fe Dr, Encinitas, CA and can be reached out via phone at 760-230-2251 and via fax at 760-230-2253.

Location: 354 Santa Fe Dr, Encinitas, CA, 92023-1189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063859502
Provider Name
Gautam J Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
354 Santa Fe Dr, Encinitas, CA, 92023-1189
Phone Number
760-230-2251
Fax Number
760-230-2253
Provider Enumeration Date
05/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
354 Santa Fe Dr
City
Encinitas
State
California
Zip
92024-5142
Phone Number
760-230-2251
Fax Number
760-230-2253
person
Provider Business Mailing Address Details
Address
354 Santa Fe Dr
City
Encinitas
State
California
Zip
92024-5142
Phone Number
760-230-2251
Fax Number
760-230-2253
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
A133106 (California)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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