Shah, Praful C

Shah, Praful C is an individual health care provider with primary practice located at 1690 Barton Rd Ste 104 , Redlands CA 92373-4230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shah, Praful C can be contacted via phone (909) 792-7309.

Contact Information

Primary practice address
1690 Barton Rd Ste 104 Redlands CA 92373-4230
Phone: (909) 792-7309
Fax: (909) 796-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X A33510 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A33510 California

Profile Details

NPI number 1730135880
LBN Legal business name Shah, Praful C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 23rd, 2019 - about 5 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 1730135880 NPPES
California MEDICAID 00A335100

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