Shah, Avni A

Shah, Avni A is an individual health care provider with primary practice located at 3035 Cleveland Ave Ste 100 , Santa Rosa CA 95403-2122. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Shah, Avni A can be contacted via phone (708) 623-8200.

Contact Information

Primary practice address
3035 Cleveland Ave Ste 100 Santa Rosa CA 95403-2122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 269995 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A163015 California
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 269995 Massachusetts
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X A163015 California

Profile Details

NPI number 1598007676
LBN Legal business name Shah, Avni A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Jul 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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