Shah, Mamta D
Shah, Mamta D is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Shah, Mamta D can be contacted via phone (905) 558-4250.Contact Information
Primary practice address
11234 Anderson St
Loma Linda CA 92354-2804
Phone: (905) 558-4250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 20A21088 | California |
Profile Details
| NPI number | 1083235006 |
|---|---|
| LBN Legal business name | Shah, Mamta D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2020 |
| Last updated | Jun 30th, 2023 - 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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