Individual
SHIV SAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SANTA FE DR STE 204, ENCINITAS, CA 92024-5179
(760) 944-7300
(760) 633-3949
Mailing address
320 SANTA FE DR STE 204, ENCINITAS, CA 92024-5179
(760) 944-7300
(760) 633-3949
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A126839
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
06/02/2022
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