Shah, Shyam

Shah, Shyam is an individual health care provider with primary practice located at 350 Hawthorne Ave Room 2346, Oakland CA 94609-3108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shah, Shyam can be contacted via phone (510) 869-6883.

Contact Information

Primary practice address
350 Hawthorne Ave Room 2346 Oakland CA 94609-3108
Phone: (510) 869-6883
Fax: (510) 869-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A142115 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A142115 California

Profile Details

NPI number 1174865851
LBN Legal business name Shah, Shyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Jul 21st, 2022 - about 4 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 1174865851 NPPES
California Other A142115 STATE LICENSE

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