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1104817527
SUSHMA V SHAH
MODESTO, CA
NPI
1104817527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A66980)
Enumeration Date
2005-11-03
Last Update Date
2007-07-12
Business Address
-- SUSHMA V SHAH MD
4301 N STAR WAY
MODESTO, CA 95356-9262
Phone number: 209-342-2300
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Mailing Address
-- SUSHMA V SHAH MD
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546-5305
Phone number: 510-889-5092
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