Individual
DR. GHASSAN E SHIDYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 ESPLANADE STE 130, CHICO, CA 95926-3310
(530) 332-7300
Mailing address
1260 EAST AVE STE 130, CHICO, CA 95926-1021
(530) 898-8088
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8996
ND
207L00000X
Anesthesiology Physician
Primary
C55462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11906
—
ND
Enumeration date
11/12/2006
Last updated
06/15/2023
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