Individual
DIMITRI ATANASOV SHEREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 EL CAJON BLVD STE 100, EL CAJON, CA 92020-5760
(619) 867-0557
(619) 867-0558
Mailing address
1380 EL CAJON BLVD STE 212, EL CAJON, CA 92020-5760
(619) 867-0557
(619) 867-0558
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A70917
CA
207RI0011X
Interventional Cardiology Physician
Primary
A70917
CA
207UN0901X
Nuclear Cardiology Physician
A70917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A709170
—
CA
Enumeration date
08/11/2005
Last updated
01/24/2024
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