| Nael Shahatto Md Inc | |
|
399 E Highland Ave Suite 309 San Bernardino CA 92404-3808 | |
| (909) 883-9953 | |
| (909) 883-2840 |
| Full Name | Nael Shahatto Md Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 399 E Highland Ave, San Bernardino, California |
| Authorized Official Name and Position | Nael M Shahatto (OWNER) |
| Authorized Official Contact | 9098839953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nael Shahatto Md Inc 22421 Barton Rd # 296 Grand Terrace CA 92313-5008 Ph: (909) 883-9953 | Nael Shahatto Md Inc 399 E Highland Ave Suite 309 San Bernardino CA 92404-3808 Ph: (909) 883-9953 |
| NPI Number | 1740457605 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740457605 | NPI | - | NPPES |
| 00A524230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A52423 (California) | Primary |
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