Individual
DR. HALIMA TASNEEM SHAHABUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17577 ARROW BLVD, FONTANA, CA 92335
(909) 823-4454
(909) 823-6918
Mailing address
685 CARNEGIE DR., SUITE230, SAN BERNARDINO, CA 92408-3583
(909) 890-0407
(909) 890-0575
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A51308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A513080
MEDI-CAL
CA
Enumeration date
10/31/2006
Last updated
11/15/2012
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