| Doctor Name: | KAVAN MUNESHBHAI SHAH |
| NPI Number: | 1083957096 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 40049 |
| Business Practice Address: | 16008 Kamana Rd Ste. 200 Apple Valley, CA - 923071376 |
| Business Phone Number: | 7608107767 |
| Business Fax Number: | 7608107769 |
| Mailing Address: | 16825 Morning Dew Ln, FONTANA |
| State: | CA |
| Postal Code: | 923361699 |
| Phone Number: | 5305185786 |
| Fax Number: | 9515063002 |
| NPI Enumeration Date: | 03/28/2013 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 40049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |