Razeq Abdul Shetab M.D.

NPI 1063414977 - Internal Medicine - 207RI0200X

NPI Details
NPI 1063414977
Gender Male
Enumeration Date 08/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
2030 COFFEE RD
SUITE B-1
MODESTO CA, 95355-2413, US
Phone (209) 578-1200
Fax (209) 578-3757
Business Location
288 SANTOS AVE
RIPON CA, 95366-9337, US
Phone (209) 599-6018
Fax (209) 599-6018
Toxanomy
Taxonomy Code 207RI0200X
License State California
License Number A55408
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According to our database, Dr. Razeq Abdul Shetab M.D. NPI is 1063414977, taxonomy code is 207RI0200X and license number is A55408, license state is located at California. Razeq Abdul Shetab M.D. physically located at 2030 Coffee Rd, Modesto CA, 95355-2413. NPI Number Razeq Abdul Shetab M.D. has the Individual type.

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1063414977 NPI number is provided on an as is basis without warranty of any kind. 1063414977 is maintained by the National Plan & Provider Enumeration System. The contents of Razeq Abdul Shetab M.D. are for informational purposes only.