Individual
ELIZAVETA SHOSTAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A93079
CA
208M00000X
Hospitalist Physician
Primary
A93079
CA
Other
Enumeration date
01/12/2007
Last updated
09/25/2024
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