Provider Demographics
NPI:1295734218
Name:SHAH, ARVIND SANKALCHAND (MD)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:SANKALCHAND
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARVIND
Other - Middle Name:SSNKALCHAND
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:620 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2208
Mailing Address - Country:US
Mailing Address - Phone:661-324-4721
Mailing Address - Fax:661-324-2328
Practice Address - Street 1:620 34TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2208
Practice Address - Country:US
Practice Address - Phone:661-324-4721
Practice Address - Fax:661-324-2328
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25766207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A257660Medicaid
CA00A257660Medicare PIN