SIDDHARTH SHAH

MERCED, CA
NPI1275261729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies207N00000X Dermatology
(Licence: CA  PA61439)
Enumeration Date2022-08-11
Last Update Date2024-04-12
Business Address
SIDDHARTH SHAH
3150 G ST # D
MERCED, CA 95340-1346
Phone number: 209-921-3500
Mailing Address
SIDDHARTH SHAH
3150 G ST # D
MERCED, CA 95340-1346
Phone number: