Manish Ishwar Shah, MD | |
300 Pasteur Dr, Stanford, CA 94305-2200 | |
(650) 723-4000 | |
Not Available |
Full Name | Manish Ishwar Shah |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134200173 | NPI | - | NPPES |
165935101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C192067 (California) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | C192067 (California) | Primary |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Manish Ishwar Shah, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Manish Ishwar Shah, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Kathryn Gopez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103 | |
Dr. Kathleen Gutierrez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5682 Fax: 650-725-8040 | |
Brittany Rae Boswell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Paden Danielle Angelo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Angela S. Feng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Jane Catherine Lee, M. D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305 Phone: 650-498-7391 Fax: 650-725-7888 |