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Individual

SHAWN AGHILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 MEDICAL PLAZA DR, SUITE 190, ROSEVILLE, CA 95661-2865
(916) 786-7498
(916) 786-2715
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
(916) 679-3590
(916) 482-3647

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2538
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T2538
TX
207RP1001X
Pulmonary Disease Physician
A51616
CA
207RP1001X
Pulmonary Disease Physician
T2538
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A51616
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A516160
CA
Enumeration date
06/03/2006
Last updated
03/30/2022
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