Shahatto, Nael M

Shahatto, Nael M is an individual health care provider with primary practice located at 399 E Highland Ave Ste 309, San Bernardino CA 92404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Shahatto, Nael M can be contacted via phone (909) 883-9953.

Contact Information

Primary practice address
399 E Highland Ave Ste 309 San Bernardino CA 92404
Fax: (909) 883-2840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A52423 California

Profile Details

NPI number 1922100320
LBN Legal business name Shahatto, Nael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jun 9th, 2014 - about 10 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 1922100320 NPPES
California MEDICAID 00A524230

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