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NPI Code Detail

MEDICARE: MS. SHAREEFA SALEH PA

MEDICARE: MS. SHAREEFA SALEH PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1255929576
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAREEFA SALEH PA
Provider Business Mailing Address
First Line : 1985 PLEASANT VALLEY AVE APT 21
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4203
Country : US
Telephone Number : 925-640-5072
Fax Number :
Provider Business Practice Location Address
First Line : 2255 YGNACIO VALLEY RD STE B1
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-3335
Country : US
Telephone Number : 925-945-7005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2021
Last Update Date : 12/14/2023

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