Individual
DR. SHAHNA G ROGOSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39650 LIBERTY ST STE 300, FREMONT, CA 94538-2227
(510) 498-2890
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C52070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C520700
—
CA
Enumeration date
07/13/2006
Last updated
10/22/2020
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