Nirav K Shah, MD | |
1500 W West Covina Pkwy Ste 100, West Covina, CA 91790-2729 | |
(626) 608-8074 | |
Not Available |
Full Name | Nirav K Shah |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1500 W West Covina Pkwy Ste 100, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457385023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A88025 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
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Nirav K Shah, MD 1500 W West Covina Pkwy Ste 100, West Covina, CA 91790-2729 Ph: (626) 608-8074 | Nirav K Shah, MD 1500 W West Covina Pkwy Ste 100, West Covina, CA 91790-2729 Ph: (626) 608-8074 |
James Lawrence Vella, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2534 | |
Robert Rouzier, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2434 | |
Daniel Solomin, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 | |
Lane Braver, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2434 | |
Denis J Kollar, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2434 | |
Gilbert Benitez, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2434 | |
Dr. Edmund James Nichter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-858-8515 |