| Prince Shah Md A Medical Corporation | |
|
9460 N Name Uno Ste 130 Gilroy CA 95020-3532 | |
| (408) 848-8336 | |
| (408) 848-8337 |
| Full Name | Prince Shah Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 9460 N Name Uno Ste 130, Gilroy, California |
| Authorized Official Name and Position | Prince Shah (CEO) |
| Authorized Official Contact | 4088409188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Shah Md A Medical Corporation 9460 N Name Uno Ste 130 Gilroy CA 95020-3532 Ph: (408) 840-9188 | Prince Shah Md A Medical Corporation 9460 N Name Uno Ste 130 Gilroy CA 95020-3532 Ph: (408) 848-8336 |
| NPI Number | 1700542487 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/17/2021 |
| Medicare PECOS PAC ID | 8527458983 |
|---|---|
| Medicare Enrollment ID | O20211130000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700542487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Prince Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174632251 PECOS PAC ID: 7012919210 Enrollment ID: I20070131000595 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275229379 PECOS PAC ID: 4587029467 Enrollment ID: I20230427002654 |
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