Individual
STEVEN SHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
301 PENOBSCOT DR, REDWOOD CITY, CA 94063-4700
(650) 569-2251
Mailing address
301 PENOBSCOT DRIVE, REDWOOD CITY, CA 94063
(650) 569-2251
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
41962
CA
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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