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Individual

DR. SHOHRAT ANNABERDYEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 MEDICAL PLAZA DR STE 300, ROSEVILLE, CA 95661-3107
(916) 755-7095
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
C182791
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386888147
NV
Enumeration date
04/23/2009
Last updated
04/27/2023
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