Individual
SHOKO EMILY ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 SAN PABLO AVE STE 430, BERKELEY, CA 94702-2498
(415) 476-3358
(510) 985-5202
Mailing address
3100 SAN PABLO AVE STE 430, BERKELEY, CA 94702-2498
(415) 476-3358
(510) 985-5202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2013-00996
NC
208600000X
Surgery Physician
Primary
A132984
CA
208600000X
Surgery Physician
MT188328
PA
208C00000X
Colon & Rectal Surgery Physician
26133
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609178136
—
IA
05
—
1609178136
—
NC
05
—
47053395014
—
NE
Enumeration date
12/05/2010
Last updated
02/04/2020
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