Krupa Shah Md, a Professional Corporation
NPI #1831660588 in San Pedro, California
Provider Information
- NPI Number
- 1831660588
- Entity Type
- Organization
- Organization Name
- Krupa Shah Md, a Professional Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 6, 2018
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1294 W 6TH ST STE 204
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-2998
- Phone
- (310) 832-5331
Authorized Official
- Name
- KRUPA SHAH, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (310) 832-5331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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