Shiesha, Sam

Shiesha, Sam is an sole proprietor health care provider with primary practice located at 25101 Bear Valley Rd Pmb 347, Tehachapi CA 93561-8311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Shiesha, Sam can be contacted via phone (661) 335-2891.

Contact Information

Primary practice address
25101 Bear Valley Rd Pmb 347 Tehachapi CA 93561-8311
Phone: (661) 335-2891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X A46051 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A46051 California

Profile Details

NPI number 1316046253
LBN Legal business name Shiesha, Sam
Credentials MD, FAAFP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Oct 20th, 2011 - about 13 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 1316046253 NPPES
California MEDICAID 00A460510

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