Individual provider · Type 1 NPI
Pravin Shah, MD
Specialist · Newport Beach, CA
NPI number
1679613368
Active
Practice location
1 Hoag Dr
Newport Beach, CA 92663-4162
Mailing address
PO Box 3567
Dana Point, CA 92629-8567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | C37705 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1679613368
Pravin Shah, MD's National Provider Identifier is 1679613368, issued on Feb 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 7, 2023.