Individual
MRS. ELIZABETH S GENDY-SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1690 BARTON RD STE 104, REDLANDS, CA 92373-4230
(909) 795-4747
(909) 793-8146
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45113
AZ
208000000X
Pediatrics Physician
A97366
CA
2080P0214X
Pediatric Pulmonology Physician
45113
AZ
2080P0214X
Pediatric Pulmonology Physician
Primary
A97366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
664353
—
AZ
Enumeration date
05/17/2007
Last updated
12/15/2025
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