Organization
SHAHIN LAGHAEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WATTLE (OFFICE MANAGER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
183 FAIRVIEW LN, SONORA, CA 95370-4856
(209) 575-4575
(209) 575-4598
Mailing address
PO BOX 3749, MODESTO, CA 95352-3749
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A82720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A827200
—
CA
Enumeration date
05/06/2008
Last updated
05/06/2008
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