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NPI Code Detail

MEDICARE: RAYMOND M SHAHEEN MD INC

MEDICARE: RAYMOND M SHAHEEN MD INC
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
1208600000XSurgery PhysicianA63071CA

General Provider Information

NPI Number : 1992982144
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAYMOND M SHAHEEN MD INC
Provider Business Mailing Address
First Line : 305 SOUTH DR
Second Line : SUITE 7
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4207
Country : US
Telephone Number : 650-965-1909
Fax Number : 650-965-1944
Provider Business Practice Location Address
First Line : 305 SOUTH DR
Second Line : SUITE 7
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4207
Country : US
Telephone Number : 650-965-1909
Fax Number : 650-965-1944
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. RAYMOND MICHAEL SHAHEEN
Credential : M.D., F.A.C.S.
Telephone Number : 650-965-1909
Provider Enumeration Date : 01/29/2008
Last Update Date : 05/01/2012

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Directions to “RAYMOND M SHAHEEN MD INC ” Practice Location

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