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1851531768
AMISH KISHOR SHAH
TUSTIN, CA
NPI
1851531768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA 20A11673)
Enumeration Date
2009-03-05
Last Update Date
2021-11-29
Business Address
-- AMISH KISHOR SHAH D.O., M.P,H,
17542 17TH ST SUITE 320
TUSTIN, CA 92780-1959
Phone number: 714-734-5500
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Mailing Address
-- AMISH KISHOR SHAH D.O., M.P,H,
17542 17TH ST SUITE 320
TUSTIN, CA 92780-1959
Phone number: 714-734-5500
Copy
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