Shaku Nagpal, MD a Medical Corporation

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A25652 Issued in CA

Legal business name

SHAKU NAGPAL, MD A MEDICAL CORPORATION

Practice address

2100 Forest Ave Ste 102
San Jose, CA 95128

Phone

(650) 996-4123

Fax

(650) 941-4903

NPI assigned

Jun 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaku Nagpal, MD

Title

Owner

Phone

(650) 996-4123

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1639662455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 MATADERO CREEK LN",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940222457",
            "telephone_number": "650-996-4123",
            "fax_number": "650-941-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "650-996-4123",
            "fax_number": "650-941-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKU NAGPAL, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "NAGPAL",
        "authorized_official_first_name": "SHAKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-996-4123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A25652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.