Kosha Shah is a Dentist in Port Hueneme, California. Kosha Shah practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kosha Shah is 1669503397. The last update date is 2007-07-08.
Kosha Shah's current location address is 521 W Channel Islands Blvd Ste 8, Port Hueneme, California. You can contact this provider via phone number 8058154356. The mailing address for Kosha Shah is 521 W Channel Islands Blvd Ste 8, Port Hueneme, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kosha Shah |
|---|---|
| Address | 521 W Channel Islands Blvd Ste 8, Port Hueneme, California |
| Phone Number | 8058154356 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1669503397 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 521 W Channel Islands Blvd Ste 8 |
|---|---|
| City | Port Hueneme |
| State | California (CA) |
| Post Code | 930412132 |
| Phone Number | 8058154356 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 49804 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D49804 | CA | DENTI-CAL |
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What is the unique 10-digit identification code issued to Kosha Shah by the Centers for Medicare & Medicaid Services?
The Kosha Shah has been assigned the NPI (National Provider Identifier) 1669503397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kosha Shah?
The Kosha Shah is physically situated at 521 W Channel Islands Blvd Ste 8, in the city of Port Hueneme, state of CA, with the postal code 930412132.
What is the Kosha Shah's area of specialization and corresponding taxonomy classification?
The Kosha Shah's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Kosha Shah receive its 1669503397 assignment?
The Kosha Shah was assigned its 1669503397 on 2007-03-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kosha Shah last refreshed?
The information related to the Kosha Shah, including its address, specialty, and other relevant details, was last updated on 2007-07-08.