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Individual

SARAH SHOCK CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2800 L ST, SUITE 610, SACRAMENTO, CA 95816-5616
(916) 733-4400
(916) 454-6926
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
243347
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A104828
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03136445
NY
Enumeration date
06/14/2007
Last updated
12/15/2021
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