Individual
DR. SHADI ALI QASQAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12223 HIGHLAND AVE, STE 106-551, RANCHO CUCAMONGA, CA 91739-2574
(877) 363-9590
(951) 240-3715
Mailing address
31571 CANYON ESTATES DR, SUITE 228, LAKE ELSINORE, CA 92532-0471
(877) 363-9590
(951) 240-3715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A102826
CA
207RI0011X
Interventional Cardiology Physician
Primary
A102826
CA
Other
Enumeration date
05/18/2007
Last updated
05/02/2017
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