Shah, Selina
Shah, Selina is an sole proprietor health care provider with primary practice located at 2255 Ygnacio Valley Rd Ste V , Walnut Creek CA 94598-3343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Shah, Selina can be contacted via phone (925) 979-5327.Contact Information
Primary practice address
2255 Ygnacio Valley Rd Ste V
Walnut Creek CA 94598-3343
Phone: (925) 979-5327
Fax: (925) 357-3199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | A83067 | California |
Profile Details
| NPI number | 1205995958 |
|---|---|
| LBN Legal business name | Shah, Selina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Feb 12th, 2021 - 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 | 1205995958 | NPPES |
| California | Other | A83067 | MEDICAL LICENSE |
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