Provider Demographics
NPI:1942288956
Name:SHAH, DEVANG S (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVANG
Middle Name:S
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18550 DE PAUL DR
Mailing Address - Street 2:SUITE # 101, DE PAUL HEALTH CENTER
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-2911
Mailing Address - Country:US
Mailing Address - Phone:408-776-3900
Mailing Address - Fax:408-776-3919
Practice Address - Street 1:18550 DE PAUL DR
Practice Address - Street 2:SUITE # 101, DE PAUL HEALTH CENTER
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-2911
Practice Address - Country:US
Practice Address - Phone:408-776-3900
Practice Address - Fax:408-776-3919
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA84371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1918301OtherPIN
KYG64233Medicare UPIN