Provider Demographics
NPI:1215162193
Name:SHYE, RITU K
Entity type:Individual
Prefix:
First Name:RITU
Middle Name:K
Last Name:SHYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RITU
Other - Middle Name:
Other - Last Name:VAHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23861 MCBEAN PARKWAY
Practice Address - Street 2:SUITE E24
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5173
Practice Address - Country:US
Practice Address - Phone:661-753-5464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114512207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology