| Doctor Name: | DR. ANIL NAVIN SHAH |
| NPI Number: | 1164592358 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A97767 |
| Business Practice Address: | 220 Hovey Rd Pensacola, FL - 325081044 |
| Business Phone Number: | 8504529484 |
| Business Fax Number: | |
| Mailing Address: | 3833 Ingraham St, Apt A-204 SAN DIEGO |
| State: | CA |
| Postal Code: | 921096434 |
| Phone Number: | 4048080247 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A97767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |