Individual
FRED F SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6367 ALVARADO CT, SUITE 107, SAN DIEGO, CA 92120-4904
(619) 287-1882
(619) 287-4121
Mailing address
6367 ALVARADO CT, SUITE 107, SAN DIEGO, CA 92120-4904
(619) 287-1882
(619) 287-4121
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G83901
CA
Other
Enumeration date
07/15/2006
Last updated
12/27/2010
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