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Individual
JOHN K SHAIB
Active
Individual
JOHN K SHAIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G40205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G402050
BLUE SHIELD #
CA
05
—
00G402050
—
CA
01
—
00G402051
BLUE SHIELD #
CA
01
—
015521
HEALTH NET ID #
—
01
—
110060907
RAILROAD
—
01
—
P00357366
RAILROAD
—
Enumeration date
06/02/2006
Last updated
03/16/2015
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