Individual
MR. ADAM HOWARD SHIFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4598 MISSION ST, SAN FRANCISCO, CA 94112
(415) 965-7941
(415) 965-7935
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002612
VA
363A00000X
Physician Assistant
Primary
PA21014
CA
Other
Enumeration date
09/10/2007
Last updated
07/05/2018
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