Doctor Name: | MRS. ARUNA UDAU SHAH |
NPI Number: | 1629130661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | CA43248 |
Business Practice Address: | 825 N Park Ave Pomona, CA - 91768 |
Business Phone Number: | 9096220339 |
Business Fax Number: | 9096223823 |
Mailing Address: | 20700 E Mill Lane, WALNUT |
State: | CA |
Postal Code: | 91789 |
Phone Number: | 9096220339 |
Fax Number: | 9096223823 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | CA43248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |