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Anil Vallabhdas Shah, MD
Specialist in Santa Ana, California
NPI 1619997368

Anil Vallabhdas Shah is a Specialist based in Santa Ana, CA. Anil Vallabhdas Shah practices in Santa Ana, CA and has the professional credentials of MD. The NPI Number for Anil Vallabhdas Shah is 1619997368 and holds a License No. A35578 (California).

The current practice location address for Anil Vallabhdas Shah is 2621 S Bristol St, Santa Ana, CA and can be reached out via phone at 714-754-1684 and via fax at 714-966-0417.

Location: 2621 S Bristol St, Santa Ana, CA, 92704-5718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619997368
Provider Name
Anil Vallabhdas Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2621 S Bristol St, Santa Ana, CA, 92704-5718
Phone Number
714-754-1684
Fax Number
714-966-0417
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOA355780 05 CA
A35578 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2621 S Bristol St
City
Santa Ana
State
California
Zip
92704-5718
Phone Number
714-754-1684
Fax Number
714-966-0417
person
Provider Business Mailing Address Details
Address
2621 S Bristol St
City
Santa Ana
State
California
Zip
92704-5718
Phone Number
714-754-1684
Fax Number
714-966-0417
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A35578 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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