Individual
MICHAEL S SHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G16831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G168310
BLUE SHIELD
—
05
—
00G168310
—
CA
01
—
00G168310E02
CALOPTIMA
—
01
—
050739CA39924
TRAILBLAZER
—
01
—
360002809
RAILROAD MEDICARE
—
Enumeration date
11/29/2005
Last updated
08/15/2008
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