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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780659763 NPPES
Arizona MEDICAID 896847
Arizona Other 0766600

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