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Individual

DR. RICHARD CONRAD SHEBELUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6327 N FRESNO ST STE 101, FRESNO, CA 93710-5236
(559) 439-2229
(559) 435-7195
Mailing address
6327 N FRESNO ST STE 101, FRESNO, CA 93710-5236
(559) 439-2229
(559) 439-3936

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G471640
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CA238536
MEDICARE
CA
Enumeration date
09/02/2006
Last updated
03/03/2021
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