Provider Demographics
NPI:1376920884
Name:SHAH, AMISH J (MD)
Entity Type:Individual
Prefix:
First Name:AMISH
Middle Name:J
Last Name:SHAH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 YGNACIO VALLEY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3462
Mailing Address - Country:US
Mailing Address - Phone:925-939-3050
Mailing Address - Fax:925-939-3057
Practice Address - Street 1:2700 YGNACIO VALLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3462
Practice Address - Country:US
Practice Address - Phone:925-939-3050
Practice Address - Fax:925-939-3057
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2024-04-18
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Provider Licenses
StateLicense IDTaxonomies
CAA151668207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine