MEDICARE: SHAHAB P HILLYER 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
1	208800000X	Urology Physician	A120045	CA
2	208800000X	Urology Physician	35.094810	OH

General Provider Information

NPI Number	:	1841529757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHAB P HILLYER M.D.

Provider Business Mailing Address
First Line	:	9300 STOCKDALE HWY STE 100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-3611
Country	:	US
Telephone Number	:	661-664-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9300 STOCKDALE HWY STE 100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-3611
Country	:	US
Telephone Number	:	661-664-2200
Fax Number	:

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

Provider Enumeration Date	:	12/24/2009
Last Update Date	:	04/01/2016

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