Provider Demographics
NPI:1194875617
Name:SHAH, LOPA H (DDS)
Entity type:Individual
Prefix:DR
First Name:LOPA
Middle Name:H
Last Name:SHAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 APOLLO WAY STE 402
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-5417
Mailing Address - Country:US
Mailing Address - Phone:408-737-0101
Mailing Address - Fax:408-737-0440
Practice Address - Street 1:1214 APOLLO WAY STE 402
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5417
Practice Address - Country:US
Practice Address - Phone:408-737-0101
Practice Address - Fax:408-737-0440
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA477971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice