MEDICARE: MR. MUHAMMAD TAJUDDIN SHUAIB

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
1	207RC0000X	Cardiovascular Disease Physician	A153532	CA

General Provider Information

NPI Number	:	1346602315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MUHAMMAD TAJUDDIN SHUAIB

Provider Business Mailing Address
First Line	:	23929 MCBEAN PKWY STE 216
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4468
Country	:	US
Telephone Number	:	951-378-7023
Fax Number	:

Provider Business Practice Location Address
First Line	:	23929 MCBEAN PKWY STE 216
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4468
Country	:	US
Telephone Number	:	818-782-5041
Fax Number	:	213-204-3794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2016
Last Update Date	:	01/22/2024

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