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Organization
SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC
Active
Organization
SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SHENASA M.D. (OWNER)
(408) 918-0400
Entity
Organization
Contact information
Practice address
105 N BASCOM AVE, SUITE 204, SAN JOSE, CA 95128-1811
(408) 918-0400
(408) 286-2922
Mailing address
105 N BASCOM AVE, SUITE 204, SAN JOSE, CA 95128-1811
(408) 918-0400
(408) 286-2922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50310
CA
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
02/02/2010
Last updated
08/30/2017
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