Dr Neena Y Shah, MD | |
4598 S Tracy Blvd, C140, Tracy, CA 95377-8107 | |
(209) 839-1432 | |
(209) 839-8681 |
Full Name | Dr Neena Y Shah |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4598 S Tracy Blvd, Tracy, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831195692 | NPI | - | NPPES |
123727101 | Other | TX | FIRST CARE PROV NUMBER |
125863403 | Medicaid | TX | |
5252625 | Other | TX | AETNA PROVIDER NUMBER |
6912142001 | Other | TX | CIGNA PROVIDER NUMBER |
181846303 | Other | TX | UNITED HEALTHCARE PROV NO |
89110G | Other | TX | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K6312 (Texas) | Primary |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
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 |
---|---|
Dr Neena Y Shah, MD 11875 Dublin Blvd, C140, Dublin, CA 94568-2843 Ph: (925) 587-2500 | Dr Neena Y Shah, MD 4598 S Tracy Blvd, C140, Tracy, CA 95377-8107 Ph: (209) 839-1432 |
Daisy Yonzon Jones, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2151 W Grant Line Rd, Tracy, CA 95377 Phone: 209-832-0535 | |
Manuel R De La Cruz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 518 W Eaton Ave, Tracy, CA 95376 Phone: 209-833-2228 | |
Dr. Monica Lynnette G Stoffer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4598 S Tracy Blvd Ste 110, Tracy, CA 95377 Phone: 650-497-8000 | |
Natesan Subramanian Rama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 W Eaton Ave, #b, Tracy, CA 95376 Phone: 209-835-9029 Fax: 209-833-9352 | |
Lauren K. Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2185 W Grant Line Rd, Tracy, CA 95377 Phone: 209-839-3200 | |
Daphne Kay Solis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2185 W Grant Line Rd, Tracy, CA 95377 Phone: 209-839-3200 | |
Roderick L. Estrada, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2185 W Grant Line Rd, Tracy, CA 95377 Phone: 209-839-3200 |