Shah, Purnima
Shah, Purnima is an individual health care provider with primary practice located at 15243 Vanowen St , Van Nuys CA 91405-3605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as her primary health care specialty. Shah, Purnima can be contacted via phone (818) 782-6110.Contact Information
Primary practice address
15243 Vanowen St
Van Nuys CA 91405-3605
Phone: (818) 782-6110
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | C41525 | California |
Profile Details
NPI number | 1891735122 |
---|---|
LBN Legal business name | Shah, Purnima |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1891735122 | NPPES |
California | MEDICAID | 00C415250 |
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