Individual
NADA SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13754 SYCAMORE TREE LN, POWAY, CA 92064-4654
(415) 866-9563
Mailing address
13754 SYCAMORE TREE LN, POWAY, CA 92064-4654
(415) 866-9563
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME176866
FL
208D00000X
General Practice Physician
35.151793
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
01/22/2026
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