Individual
AHMAD SHAFIEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 547-7143
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 547-7143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
00000
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
11/25/2024
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