Provider Demographics
NPI:1265484869
Name:SHAH, DEVAL AJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVAL
Middle Name:AJIT
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12625 HIGH BLUFF DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2053
Mailing Address - Country:US
Mailing Address - Phone:650-733-4345
Mailing Address - Fax:253-455-7891
Practice Address - Street 1:3930 24TH ST
Practice Address - Street 2:APT # 11
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3741
Practice Address - Country:US
Practice Address - Phone:650-714-9820
Practice Address - Fax:415-826-9324
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2024-02-23
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Provider Licenses
StateLicense IDTaxonomies
CAA919482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry