Dr Chunilal Gangji Shah, MD is a medicare enrolled "General Practice" physician in La Mirada, California. His current practice location is
11530 La Mirada Blvd, La Mirada, California. You can reach out to his office (for appointments etc.) via phone at
(562) 947-1619.
Dr Chunilal Gangji Shah is licensed to practice in California (license number A33116) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790882959.
Physician's Profile
Full Name | Dr Chunilal Gangji Shah |
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Gender | Male |
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Speciality | General Practice |
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Location | 11530 La Mirada Blvd, La Mirada, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790882959
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9436287257
- Enrollment ID: I20100514000204
Medical Identifiers
Medical identifiers for Dr Chunilal Gangji Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790882959 | NPI | - | NPPES |
00A331160 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | A33116 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chunilal Gangji Shah is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Chunilal Gangji Shah, MD 11530 La Mirada Blvd, La Mirada, CA 90638-1162 Ph: (562) 947-1619 | Dr Chunilal Gangji Shah, MD 11530 La Mirada Blvd, La Mirada, CA 90638-1162 Ph: (562) 947-1619 |
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