| Dr Srujal H Shah Dds Inc | |
|
101 Wilson Rd Ste D Monterey CA 93940-7873 | |
| (408) 490-0182 | |
| (408) 624-4545 |
| Full Name | Dr Srujal H Shah Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 101 Wilson Rd Ste D, Monterey, California |
| Authorized Official Name and Position | Srujal Harshad Shah (PRESIDENT) |
| Authorized Official Contact | 4084900182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srujal H Shah Dds Inc 6120 Hellyer Ave Ste 125 San Jose CA 95138-1066 Ph: (408) 490-0182 | Dr Srujal H Shah Dds Inc 101 Wilson Rd Ste D Monterey CA 93940-7873 Ph: (408) 490-0182 |
| NPI Number | 1528458403 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 4486840634 |
|---|---|
| Medicare Enrollment ID | O20150707000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528458403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58754 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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