Provider Demographics
NPI:1710155676
Name:SHAH, ATIA AHMED (MD)
Entity Type:Individual
Prefix:
First Name:ATIA
Middle Name:AHMED
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1135 S SUNSET AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3937
Mailing Address - Country:US
Mailing Address - Phone:626-851-8880
Mailing Address - Fax:626-851-8001
Practice Address - Street 1:1135 S SUNSET AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3937
Practice Address - Country:US
Practice Address - Phone:626-851-8880
Practice Address - Fax:626-851-8001
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2015-11-19
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Provider Licenses
StateLicense IDTaxonomies
CAA108877207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease