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NPI Code Detail

MEDICARE: DR. MARK S SHAFIK MD

MEDICARE: DR. MARK S SHAFIK MD
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
1207Q00000XFamily Medicine Physician036121484IL
2207Q00000XFamily Medicine PhysicianN6650TX
3207Q00000XFamily Medicine Physician24601OK
4207Q00000XFamily Medicine PhysicianC145588CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18U3003OTHERTXBCBSTX

General Provider Information

NPI Number : 1376685867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK S SHAFIK MD
Provider Business Mailing Address
First Line : 9710 BRIMHALL RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2779
Country : US
Telephone Number : 661-829-6747
Fax Number : 661-829-6937
Provider Business Practice Location Address
First Line : 9710 BRIMHALL RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2779
Country : US
Telephone Number : 661-829-6747
Fax Number : 661-829-6937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 04/29/2020

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Directions to “ DR. MARK S SHAFIK MD” Practice Location

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