Individual
DR. BARRY EIICHI SHIBUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3775 BEACON AVE, SUITE 100, FREMONT, CA 94538-1466
(510) 791-1300
(510) 791-1301
Mailing address
3775 BEACON AVE, SUITE 100, FREMONT, CA 94538-1466
(510) 791-1300
(510) 791-1301
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A72682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A7268210
—
CA
Enumeration date
05/08/2007
Last updated
11/17/2011
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