Individual provider · Type 1 NPI
Avisha Shah, DO
Student in an Organized Health Care Education/Training Program · Granite Bay, CA
NPI number
1396673265
Active
Practice location
5330 Fenton Way
Granite Bay, CA 95746-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Jonathan Edward ReamsStudent in an Organized Health Care Education/Training Program Granite Bay, CA NPI 1063329324
- Kaitlin Quinn SorgeaStudent in an Organized Health Care Education/Training Program Granite Bay, CA NPI 1306659214
About NPI 1396673265
Avisha Shah, DO's National Provider Identifier is 1396673265, issued on May 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Granite Bay, CA. The record was last updated on May 11, 2026.