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Individual

DR. SHAMMAH IBUKUN IKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
375 89TH ST, DALY CITY, CA 94015-1802
(650) 301-8650
Mailing address
375 89TH ST, DALY CITY, CA 94015-1802
(650) 301-8650

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A210291
CA
208D00000X
General Practice Physician
Primary
PTL18713
CA

Other

Enumeration date
05/24/2025
Last updated
07/31/2026
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