| Uday N Shah Dds Inc. | |
|
14708 Pipeline Ave Ste A Chino Hills CA 91709-1296 | |
| (909) 606-4337 | |
| (909) 606-3223 |
| Full Name | Uday N Shah Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 14708 Pipeline Ave Ste A, Chino Hills, California |
| Authorized Official Name and Position | Uday Nandlal Shah (PRESIDENT) |
| Authorized Official Contact | 9096064337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uday N Shah Dds Inc. 14708 Pipeline Ave Ste A Chino Hills CA 91709-1296 Ph: (909) 606-4337 | Uday N Shah Dds Inc. 14708 Pipeline Ave Ste A Chino Hills CA 91709-1296 Ph: (909) 606-4337 |
| NPI Number | 1356801500 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 6406286756 |
|---|---|
| Medicare Enrollment ID | O20200429000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356801500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Uday N Shah |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750455549 PECOS PAC ID: 7214367564 Enrollment ID: I20200506001522 |
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