| M Shehata Iatrocare Inc | |
|
300 Canal St King City CA 93930-3431 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | M Shehata Iatrocare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Canal St, King City, California |
| Authorized Official Name and Position | Mabrook L Shehata (SOLE OWNER) |
| Authorized Official Contact | 5625771098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Shehata Iatrocare Inc 2660 Crimson Canyon Dr Ste 130 Las Vegas NV 89128-0846 Ph: (702) 453-3799 | M Shehata Iatrocare Inc 300 Canal St King City CA 93930-3431 Ph: (702) 453-3799 |
| NPI Number | 1184204364 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 04/12/2021 |
| Medicare PECOS PAC ID | 0547669822 |
|---|---|
| Medicare Enrollment ID | O20210519002197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184204364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mabrook Lawandy Shehata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982771655 PECOS PAC ID: 6305930397 Enrollment ID: I20070921000168 |
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