Individual
BASHAR MOUSA SHAHATIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19341 BEAR VALLEY RD STE 104, APPLE VALLEY, CA 92308-5152
(760) 956-4148
Mailing address
19341 BEAR VALLEY RD STE 104, APPLE VALLEY, CA 92308-5152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122792
CA
Other
Enumeration date
05/02/2010
Last updated
11/10/2021
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