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NPI Code Detail

MEDICARE: SAMAN SHAFAAT TALAB M.D.

MEDICARE: SAMAN SHAFAAT TALAB 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
1208800000XUrology PhysicianA160508CA

General Provider Information

NPI Number : 1598185100
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMAN SHAFAAT TALAB M.D.
Provider Business Mailing Address
First Line : 18400 US HIGHWAY 18 STE A
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-2306
Country : US
Telephone Number : 760-242-3939
Fax Number : 760-242-3232
Provider Business Practice Location Address
First Line : 1221 N INDIAN CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4875
Country : US
Telephone Number : 760-760-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2014
Last Update Date : 02/12/2026

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