Individual
DR. GBENGA ADEYEMI SHOGBESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
2023-00945
NC
207U00000X
Nuclear Medicine Physician
A179344
CA
207U00000X
Nuclear Medicine Physician
MD480129
PA
2085R0202X
Diagnostic Radiology Physician
036175066
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2023-00945
NC
2085R0202X
Diagnostic Radiology Physician
MD480129
PA
Other
Enumeration date
03/27/2018
Last updated
03/03/2026
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