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NPI Code Detail

MEDICARE: SHARNA B SHACHAR M.D

MEDICARE:   SHARNA B SHACHAR  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA51402CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A51402OTHERCALICENSE

General Provider Information

NPI Number : 1619904703
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARNA B SHACHAR M.D
Provider Business Mailing Address
First Line : 525 H ST
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-4301
Country : US
Telephone Number : 619-409-9999
Fax Number : 619-409-9905
Provider Business Practice Location Address
First Line : 525 H ST
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-4301
Country : US
Telephone Number : 619-409-9999
Fax Number : 619-409-9905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 12/14/2020

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Directions to “ SHARNA B SHACHAR M.D” Practice Location

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