Provider Demographics
NPI:1598996464
Name:SHAH, NEIL KULIN (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:KULIN
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 1:300 PASTEUR DR.
Mailing Address - Street 2:ROOM H-1402 M/C 5626
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5626
Mailing Address - Country:US
Mailing Address - Phone:650-725-1981
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR.
Practice Address - Street 2:ROOM H-1402 M/C 5626
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5626
Practice Address - Country:US
Practice Address - Phone:650-725-1981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124532207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine