| Tahseen Shareef Md, Inc | |
|
11374 Mountain View Ave Ste A1 Loma Linda CA 92354-3830 | |
| (909) 203-3825 | |
| (909) 799-3888 |
| Full Name | Tahseen Shareef Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11374 Mountain View Ave Ste A1, Loma Linda, California |
| Authorized Official Name and Position | Tahseen Shareef (PHYSICIAN) |
| Authorized Official Contact | 9092033825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahseen Shareef Md, Inc 11374 Mountain View Ave Ste A1 Loma Linda CA 92354-3830 Ph: (909) 203-3825 | Tahseen Shareef Md, Inc 11374 Mountain View Ave Ste A1 Loma Linda CA 92354-3830 Ph: (909) 203-3825 |
| NPI Number | 1295132298 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 12/08/2014 |
| Medicare PECOS PAC ID | 7113245382 |
|---|---|
| Medicare Enrollment ID | O20150420000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295132298 | NPI | - | NPPES |
| 00G841090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G84109 (California) | Primary |
| Provider Name | Tahseen N Shareef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669491809 PECOS PAC ID: 1153483177 Enrollment ID: I20081229000155 |
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