Shah, Sushma V
Shah, Sushma V is an sole proprietor health care provider with primary practice located at 4301 N Star Way , Modesto CA 95356-9262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Shah, Sushma V can be contacted via phone (209) 342-2300.Contact Information
Primary practice address
4301 N Star Way
Modesto CA 95356-9262
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A66980 | California |
Profile Details
| NPI number | 1104817527 |
|---|---|
| LBN Legal business name | Shah, Sushma V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 12th, 2007 - about 17 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 | 1104817527 | NPPES |
| California | MEDICAID | 00A669800 | |
| California | Other | 00A669800 |
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