Shah, Panna R
Shah, Panna R is an sole proprietor health care provider with primary practice located at 1887 Monterey Hwy Ste 205 , San Jose CA 95112. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Shah, Panna R can be contacted via phone (408) 971-9822.Contact Information
Primary practice address
1887 Monterey Hwy Ste 205
San Jose CA 95112
Phone: (408) 971-9822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C53290 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C53290 | California |
Profile Details
| NPI number | 1780659763 |
|---|---|
| LBN Legal business name | Shah, Panna R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Sep 21st, 2018 - about 6 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 | 1780659763 | NPPES |
| Arizona | MEDICAID | 896847 | |
| Arizona | Other | 0766600 |
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