Shah, Krupa
Shah, Krupa is an sole proprietor health care provider with primary practice located at 900 N Western Ave , San Pedro CA 90732-2427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shah, Krupa can be contacted via phone (310) 832-4225.Contact Information
Primary practice address
900 N Western Ave
San Pedro CA 90732-2427
Phone: (310) 832-4225
Fax: (310) 831-4860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A42668 | California |
Profile Details
| NPI number | 1083655369 |
|---|---|
| LBN Legal business name | Shah, Krupa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Apr 6th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083655369 | NPPES |
| California | MEDICAID | 00A426680 |
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