Shah, Praful C
Shah, Praful C is an individual health care provider with primary practice located at 1690 Barton Rd Ste 104 , Redlands CA 92373-4230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shah, Praful C can be contacted via phone (909) 792-7309.Contact Information
Primary practice address
1690 Barton Rd Ste 104
Redlands CA 92373-4230
Phone: (909) 792-7309
Fax: (909) 796-4158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A33510 | California |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | A33510 | California |
Profile Details
| NPI number | 1730135880 |
|---|---|
| LBN Legal business name | Shah, Praful C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jan 9th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730135880 | NPPES |
| California | MEDICAID | 00A335100 |
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