# NAEL SHAHATTO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740457605
- **Authorized official:** DR. NAEL M SHAHATTO M.D. (OWNER)
- **Authorized official phone:** (909) 883-9953

## Contact information

- **Practice address:** 399 E HIGHLAND AVE, SUITE 309, SAN BERNARDINO, CA 92404-3808
- **Practice address phone:** (909) 883-9953
- **Practice address fax:** (909) 883-2840
- **Mailing address:** 22421 BARTON RD \# 296, GRAND TERRACE, CA 92313-5008
- **Mailing address phone:** (909) 883-9953
- **Mailing address fax:** (909) 883-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | A52423 | CA | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 06/09/2014