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 |
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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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