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1679613368
PRAVIN SHAH
NEWPORT BEACH, CA
NPI
1679613368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA C37705)
Enumeration Date
2007-02-08
Last Update Date
2023-03-07
Business Address
Dr. PRAVIN SHAH MD
1 HOAG DR
NEWPORT BEACH, CA 92663-4162
Phone number: 949-764-8123
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Mailing Address
Dr. PRAVIN SHAH MD
PO BOX 3567
DANA POINT, CA 92629-8567
Phone number: 949-764-8123
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