Shetab, Razeq Abdul

Shetab, Razeq Abdul is an individual health care provider with primary practice located at 2030 Coffee Rd Suite B-1, Modesto CA 95355-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Shetab, Razeq Abdul can be contacted via phone (209) 578-1200.

Contact Information

Primary practice address
2030 Coffee Rd Suite B-1 Modesto CA 95355-2413
Phone: (209) 578-1200
Fax: (209) 578-3757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A55408 California

Profile Details

NPI number 1063414977
LBN Legal business name Shetab, Razeq Abdul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 22nd, 2021 - about 5 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 1063414977 NPPES
California MEDICAID 00A554081

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