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Shazad Shah
Driver in Elk Grove, California
NPI 1083361281

Shazad Shah is a Driver based in Elk Grove, CA. Shazad Shah practices in Elk Grove, CA. The NPI Number for Shazad Shah is 1083361281 and holds a License No. (California).

The current practice location address for Shazad Shah is 6113 Jefjen Way, Elk Grove, CA and can be reached out via phone at 916-607-6658 and via fax at 916-378-0419.

Location: 6113 Jefjen Way, Elk Grove, CA, 95757-5990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083361281
Provider Name
Shazad Shah
Credential
Provider Entity Type
Individual
Gender
Male
Address
6113 Jefjen Way, Elk Grove, CA, 95757-5990
Phone Number
916-607-6658
Fax Number
916-378-0419
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6113 Jefjen Way
City
Elk Grove
State
California
Zip
95757-5990
Phone Number
916-607-6658
Fax Number
916-378-0419
person
Provider Business Mailing Address Details
Address
6113 Jefjen Way
City
Elk Grove
State
California
Zip
95757-5990
Phone Number
916-607-6658
Fax Number
916-378-0419
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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