Provider Demographics
NPI:1376733402
Name:SHAH, NEHA N (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:N
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20046 LAKE CHABOT RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5304
Mailing Address - Country:US
Mailing Address - Phone:510-881-8823
Mailing Address - Fax:510-881-2134
Practice Address - Street 1:20046 LAKE CHABOT RD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5304
Practice Address - Country:US
Practice Address - Phone:510-881-8823
Practice Address - Fax:510-881-2134
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA64751207W00000X
CAA120259207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology