Individual
SHOBHA TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 UNION SQ FL 1, UNION CITY, CA 94587-4495
(510) 431-5511
(510) 431-5513
Mailing address
2 UNION SQ FL 1, UNION CITY, CA 94587-4495
(510) 552-6167
(510) 431-5513
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A53643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A536430
MEDICARE PTAN
CA
01
—
00A536431
PTAN
CA
Enumeration date
08/29/2006
Last updated
08/14/2022
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