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1407268790

NPI Code Detail

MEDICARE: EMANUEL AFRAM SHAPERA MD

MEDICARE: EMANUEL AFRAM SHAPERA 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
1	208600000X	Surgery Physician	174557	CA
2	208600000X	Surgery Physician	ME146038	FL
3	208600000X	Surgery Physician	17247	NV
4	208600000X	Surgery Physician	2019020862	MO
5	208600000X	Surgery Physician	DR.0071299	CO
6	2086X0206X	Surgical Oncology Physician	A174557	CA

General Provider Information

NPI Number	:	1407268790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMANUEL AFRAM SHAPERA MD

Provider Business Mailing Address
First Line	:	1782 LAWNDALE RD
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-3898
Country	:	US
Telephone Number	:	619-274-6255
Fax Number	:

Provider Business Practice Location Address
First Line	:	31625 DE PORTOLA RD STE 101
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92592-2770
Country	:	US
Telephone Number	:	951-501-4200
Fax Number	:	951-501-4239

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

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	12/29/2023

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Directions to “ EMANUEL AFRAM SHAPERA MD” Practice Location

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