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
Phone: (708) 623-8200
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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