Individual
DR. SAMUEL ALAN SHUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE, EL SEGUNDO, CA 90245-4817
(424) 290-8004
Mailing address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(424) 290-8004
(813) 254-4597
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME0077888
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME0077888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118721
—
AL
05
—
256564100
—
FL
Enumeration date
05/18/2006
Last updated
01/20/2025
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