| Dr Srujal H Shah Dds Inc | |
|
4340 Scotts Valley Dr Ste H Scotts Valley CA 95066-4541 | |
| (408) 490-0182 | |
| (408) 624-4545 |
| Full Name | Dr Srujal H Shah Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 4340 Scotts Valley Dr Ste H, Scotts Valley, California |
| Authorized Official Name and Position | Srujal Harshad Shah (PRESIDENT) |
| Authorized Official Contact | 4084900182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srujal H Shah Dds Inc 6120 Hellyer Ave Ste 125 San Jose CA 95138-1066 Ph: (408) 490-0182 | Dr Srujal H Shah Dds Inc 4340 Scotts Valley Dr Ste H Scotts Valley CA 95066-4541 Ph: (408) 490-0182 |
| NPI Number | 1710377494 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 4486840634 |
|---|---|
| Medicare Enrollment ID | O20150707000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710377494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58754 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Savannah J. Kim Professional Corporation, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4736 Scotts Valley Dr Ste C, Scotts Valley, CA 95066 Phone: 408-329-2327 | |
Devon Le, D.d.s, Incorporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Mount Hermon Rd Ste H, Scotts Valley, CA 95066 Phone: 831-440-1830 | |
Melanie Asnani Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5321 Scotts Valley Dr, Ste #210, Scotts Valley, CA 95066 Phone: 831-438-4020 Fax: 831-438-3927 | |
Ebrahimian & Ebrahimian Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Erba Ln Ste A, Scotts Valley, CA 95066 Phone: 831-438-4411 Fax: 831-438-1323 | |
Wandy W Tsai Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5268 Scotts Valley Dr, Scotts Valley, CA 95066 Phone: 831-438-8503 | |
Fernandez Torres Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4738 Scotts Valley Dr Ste A, Scotts Valley, CA 95066 Phone: 831-438-0554 |