Shah, Nikita Mukesh

Shah, Nikita Mukesh is an individual health care provider with primary practice located at 425 Haaland Dr Ste 101 , Thousand Oaks CA 91361-5230. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Shah, Nikita Mukesh can be contacted via phone (805) 496-2949.

Contact Information

Primary practice address
425 Haaland Dr Ste 101 Thousand Oaks CA 91361-5230
Phone: (805) 496-2949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R7322 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301112575 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X A170065 California

Profile Details

NPI number 1073889002
LBN Legal business name Shah, Nikita Mukesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Nov 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073889002 NPPES
Texas MEDICAID 387124602

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