Most Relevant Information
Provider Data
| NPI Number: | 1003666835 |
| Provider Name: | KATHERINE DANIELLE SHAH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
9300 VALLEY CHILDRENS PL
MADERA
CA
936368761
Practice Location Phone/Fax
| Phone: | 5593535168 |
| Fax: | 5593535318 |
Provider Mailing Location
9300 VALLEY CHILDRENS PL
MADERA
CA
936368761
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |