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Individual

TCHAKA BAYETE SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 E 28TH STREET, SUITE 411, LONG BEACH, CA 90806
(562) 427-1322
(562) 427-4282
Mailing address
701 E 28TH STREET, SUITE 411, LONG BEACH, CA 90806
(562) 427-1322
(562) 427-4282

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A72326
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OOA723260
CA
Enumeration date
05/12/2006
Last updated
12/14/2010
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