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Riaz Ali Shah

  • Male

Medical Specialty

Professional ID

  • NPI: 1417105602
  • PECOS ID: 6608903505
  • Enrollment ID: I20170112001037
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2000

Hospital Service

  • Hospital CCN1: 050127
  • Business Name (LBN)1: Woodland Memorial Hospital
  • Hospital CCN2: 390046
  • Business Name (LBN)2: York Hospital

Medical Practices

  • Organization Name: Dignity Health Medical Foundation
  • Group Practice ID assigned by PECOS: 7810800661
  • Number of Group Practice member: 992

Location

  • Address1: 1321 Cottonwood St
  • Address2: Suite 203
  • City: Woodland
  • State: California
  • Zip Code: 95695
  • Phone Number: (530)668-2600

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):