Shah, Mukund G

Shah, Mukund G is an individual health care provider with primary practice located at 38660 Medical Center Dr Suite A-380, Palmdale CA 93551-4385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Shah, Mukund G can be contacted via phone (661) 948-5928.

Contact Information

Primary practice address
38660 Medical Center Dr Suite A-380 Palmdale CA 93551-4385
Fax: (661) 948-2210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A31073 California

Profile Details

NPI number 1801977632
LBN Legal business name Shah, Mukund G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 25th, 2013 - about 11 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 1801977632 NPPES
California MEDICAID 00A310730
California MEDICAID ZZZ8386Z

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