Nathan, Shan A

Nathan, Shan A is an individual health care provider with primary practice located at 44215 15Th St W Ste 203 , Lancaster CA 93534. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nathan, Shan A can be contacted via phone (661) 480-7004.

Contact Information

Primary practice address
44215 15Th St W Ste 203 Lancaster CA 93534
Phone: (661) 480-7004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A31010 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A31010 California

Profile Details

NPI number 1396724985
LBN Legal business name Nathan, Shan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Aug 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396724985 NPPES
California MEDICAID 00A310100

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