Individual
SHONTAL BEHAN DIONISOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5718
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
12/20/2021
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