Shah, Chunilal Gangji

Shah, Chunilal Gangji is an sole proprietor health care provider with primary practice located at 11530 La Mirada Blvd , La Mirada CA 90638-1162. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Shah, Chunilal Gangji can be contacted via phone (562) 947-1619.

Contact Information

Primary practice address
11530 La Mirada Blvd La Mirada CA 90638-1162
Fax: (562) 947-5969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A33116 California

Profile Details

NPI number 1790882959
LBN Legal business name Shah, Chunilal Gangji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790882959 NPPES
California MEDICAID 00A331160

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