Virginia Madden Shahrok MD

NPI 1093081275 - Family Medicine - 207QA0505X

NPI Details
NPI 1093081275
Gender Female
Enumeration Date 04/01/2012
Last Updated 04/01/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
SAN MATEO CA, 94402-3430, US
Phone (650) 345-7212
Business Location
PO BOX 5369
SAN MATEO CA, 94402-0369, US
Phone (650) 345-7212
Taxonomy Code 207QA0505X
License State California
License Number GFE4551
Remove 1093081275 NPI Number

According to our database, Dr. Virginia Madden Shahrok MD NPI is 1093081275, taxonomy code is 207QA0505X and license number is GFE4551, license state is located at California. Virginia Madden Shahrok MD physically located at 504 Barneson Ave, San Mateo CA, 94402-3430. NPI Number Virginia Madden Shahrok MD has the Individual type.

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1093081275 NPI number is provided on an as is basis without warranty of any kind. 1093081275 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Madden Shahrok MD are for informational purposes only.