SHAZAD SHAH
NPI 1083361281
Driver in Elk Grove, CA
Active since March 07, 2022
About Shazad Shah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAZAD SHAH (NPI 1083361281) is an individual driver provider in Elk Grove, California and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1083361281
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameSHAZAD SHAH
Location Address6113 JEFJEN WAYElk Grove, CA 95757-5990
Mailing Address6113 Jefjen WayElk Grove, CA 95757-5990 · (916) 607-6658
Phone(916) 607-6658
Fax(916) 378-0419
Sole ProprietorYes
Enumeration DateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1083361281 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
6113 JEFJEN WAY, Elk Grove, CA 95757
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083361281, enumerated as an "individual" on March 07, 2022.
The provider is located at 6113 JEFJEN WAY ELK GROVE, CA 95757 and the phone number is (916) 607-6658.
Driver with taxonomy code 172A00000X.