Shenasa, Mohammad
Shenasa, Mohammad is an individual health care provider with primary practice located at 105 N Bascom Ave Suite 204, San Jose CA 95128-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Shenasa, Mohammad can be contacted via phone (408) 918-0400.Contact Information
Primary practice address
105 N Bascom Ave Suite 204
San Jose CA 95128-1811
Phone: (408) 918-0400
Fax: (408) 286-2922
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A50310 | California |
Profile Details
NPI number | 1578621074 |
---|---|
LBN Legal business name | Shenasa, Mohammad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2006 |
Last updated | Feb 7th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578621074 | NPPES |
California | MEDICAID | 6364725 |
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