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Individual

IMAD M SHAHHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
460 N ELM ST, ESCONDIDO, CA 92025-3002
(760) 520-8100
(760) 737-2039
Mailing address
2715 RICH LYNN RIDGE RD, ESCONDIDO, CA 92025-7810
(760) 739-0874
(760) 739-0187

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A36462
CA

Other

Enumeration date
06/19/2009
Last updated
06/23/2009
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