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Individual

SHARON L BASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2415 DE LA VINA ST, SANTA BARBARA, CA 93105-3819
(805) 689-5718
Mailing address
3905 STATE ST STE 7-132, SANTA BARBARA, CA 93105-3138
(805) 689-5718
(805) 563-7671

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A60091
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250013397
RR MEDICARE
CA
Enumeration date
07/15/2006
Last updated
01/26/2021
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