Shah, Nikita Mukesh
Shah, Nikita Mukesh is an individual health care provider with primary practice located at 425 Haaland Dr Ste 101 , Thousand Oaks CA 91361-5230. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Shah, Nikita Mukesh can be contacted via phone (805) 496-2949.Contact Information
Primary practice address
425 Haaland Dr Ste 101
Thousand Oaks CA 91361-5230
Phone: (805) 496-2949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R7322 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301112575 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | A170065 | California |
Profile Details
| NPI number | 1073889002 |
|---|---|
| LBN Legal business name | Shah, Nikita Mukesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2012 |
| Last updated | Nov 11th, 2020 - about 4 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 | 1073889002 | NPPES |
| Texas | MEDICAID | 387124602 |
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