| Mital Shah, DO | |
|
800 S Main St, Corona, CA 92882-3420 | |
| (951) 737-4343 | |
| Not Available |
| Full Name | Mital Shah |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 800 S Main St, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538663042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20A19213 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Allied Anesthesia Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
| Entity Name | City Of Hope Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
| Entity Name | Orange Coast Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508138256 PECOS PAC ID: 2466613591 Enrollment ID: O20120417000047 |
| Entity Name | Talbert Anesthesia Group Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144626714 PECOS PAC ID: 6406171461 Enrollment ID: O20150213001921 |
| Entity Name | Corona Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558865840 PECOS PAC ID: 7416212576 Enrollment ID: O20180521002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Mital Shah, DO 800 S Main St, Corona, CA 92882-3420 Ph: () - | Mital Shah, DO 800 S Main St, Corona, CA 92882-3420 Ph: (951) 737-4343 |
Jeffrey Rieker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 S Main St, Corona, CA 92882 Phone: 951-737-4343 | |
William John Brya, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 25015 Cliffrose St, Corona, CA 92883 Phone: 951-277-9890 Fax: 951-277-9890 | |
Wendy S Martin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-737-4343 | |
Dr. Ramin Akhavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 351 Corporate Terrace Cir, Corona, CA 92879 Phone: 951-443-5940 Fax: 951-443-5943 | |
Mahesh Suranjan Desilva, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 S. Main Street, Corona, CA 92882 Phone: 951-736-6233 | |
Susan Trinh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6459 Whitelily St, Corona, CA 92880 Phone: 858-232-8572 | |
Youn S. Toh, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 24258 Owl Ct, Corona, CA 92883 Phone: 951-603-3496 |