Provider Demographics
NPI:1245237379
Name:SHAH, AAMIR S (MD)
Entity Type:Individual
Prefix:
First Name:AAMIR
Middle Name:S
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W JANSS RD STE 340
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1879
Mailing Address - Country:US
Mailing Address - Phone:805-852-9100
Mailing Address - Fax:
Practice Address - Street 1:227 W JANSS RD STE 340
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1879
Practice Address - Country:US
Practice Address - Phone:805-852-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG89155208G00000X
OH79909208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2266168Medicaid
H40977Medicare UPIN
H40977Medicare UPIN