| Kirit Shah, M.d. Inc. | |
|
900 S 1st Ave Ste A Arcadia CA 91006-7527 | |
| (626) 445-5577 | |
| (626) 445-2155 |
| Full Name | Kirit Shah, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 S 1st Ave Ste A, Arcadia, California |
| Authorized Official Name and Position | Kirit C Shah (PRESIDENT/CEO) |
| Authorized Official Contact | 6264455577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirit Shah, M.d. Inc. 900 S 1st Ave Ste A Arcadia CA 91006-7527 Ph: (626) 445-5577 | Kirit Shah, M.d. Inc. 900 S 1st Ave Ste A Arcadia CA 91006-7527 Ph: (626) 445-5577 |
| NPI Number | 1427223478 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 01/03/2023 |
| Medicare PECOS PAC ID | 1456409648 |
|---|---|
| Medicare Enrollment ID | O20090427000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427223478 | NPI | - | NPPES |
| 00A425360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A42536 (California) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kirit C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699783035 PECOS PAC ID: 9931258183 Enrollment ID: I20090521000447 |
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