Individual
DR. SHWETA KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602
(510) 437-4800
Mailing address
1468 5TH AVE APT D, SAN FRANCISCO, CA 94122-3833
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01085355A
IN
207RR0500X
Rheumatology Physician
164940
CA
207RR0500X
Rheumatology Physician
24428
MS
207RR0500X
Rheumatology Physician
A164940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05605321
—
MS
05
—
300050833
—
IN
Enumeration date
12/10/2012
Last updated
06/23/2021
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