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1255349379
SMITA JAYPRAKASH SHAH
SAN BERNARDINO, CA
NPI
1255349379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A40709)
Enumeration Date
2006-08-04
Last Update Date
2019-09-10
Business Address
SMITA JAYPRAKASH SHAH M.D.
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411-1217
Phone number: 909-887-6333
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Mailing Address
SMITA JAYPRAKASH SHAH M.D.
2923 BRADLEY ST STE 120
PASADENA, CA 91107
Phone number: 626-795-6596
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