| Sharna B Shachar M D A Professional Medical Corporation | |
|
525 H St Chula Vista CA 91910-4301 | |
| (619) 409-9999 | |
| (619) 409-9905 |
| Full Name | Sharna B Shachar M D A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 H St, Chula Vista, California |
| Authorized Official Name and Position | Sharna B. Shachar (OWNER) |
| Authorized Official Contact | 6194099999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharna B Shachar M D A Professional Medical Corporation 525 H St Chula Vista CA 91910-4301 Ph: (619) 409-9999 | Sharna B Shachar M D A Professional Medical Corporation 525 H St Chula Vista CA 91910-4301 Ph: (619) 409-9999 |
| NPI Number | 1033120902 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 11/21/2016 |
| Medicare PECOS PAC ID | 7517960156 |
|---|---|
| Medicare Enrollment ID | O20060821000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033120902 | NPI | - | NPPES |
| A51402 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharna B Shachar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619904703 PECOS PAC ID: 1254345630 Enrollment ID: I20060206000852 |
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