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Individual

BUDD NORMAN SHENKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 TELEGRAPH AVE, 2ND FLOOR, OAKLAND, CA 94609-3210
(510) 452-5231
(510) 869-6679
Mailing address
11875 DUBLIN BLVD, SUITE C 140, DUBLIN, CA 94568-2843
(925) 587-2505
(925) 587-2511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G18425
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G184250
MEDICARE PTAN
01
00G184255
MEDICARE - PTAN
Enumeration date
03/22/2006
Last updated
11/13/2012
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