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Gopi Bipin Shah

Otolaryngology

Allopathic & Osteopathic Physicians

3030 Childrens Way, San Diego, CA 92123-4232

PECOS Enrollment

This provider is enrolled in PECOS as GOPI SHAH.

Based on the most recent information from CMS, provider Gopi Bipin Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1558556969
Provider Type
Individual
Full Name
Shah, Gopi Bipin
Title
Dr.
Credential
MD, MPH

Gender
Female
Sole Proprietor
No
Enumeration Date
9/10/2007
Last Updated
10/10/2024

Contact Information

Practice Location

3030 Childrens Way, San Diego, CA 92123-4232

(858) 309-7701

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207YP0228X Primary	Description Otolaryngology Allopathic & Osteopathic Physicians	License C195380 California
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License P5131 Texas
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License C195380 California
Code 207YP0228X	Description Otolaryngology Allopathic & Osteopathic Physicians	License P5131 Texas

Gopi Bipin Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

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License

Code

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