Individual
ALFRED SHIHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 4TH AVE STE 11, CHULA VISTA, CA 91910-3813
(619) 422-6158
(619) 422-2019
Mailing address
340 4TH AVE STE 11, CHULA VISTA, CA 91910-3813
(619) 422-6158
(619) 422-2019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A37090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A37090
LICENSE
CA
Enumeration date
07/11/2006
Last updated
01/30/2012
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