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Dr. Shane Petrites, MD
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1275020307

Shane Petrites is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Shane Petrites practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Shane Petrites is 1275020307 and holds a License No. A166937 (California).

The current practice location address for Shane Petrites is 1411 East 31St Street Qic 22123, Oakland, CA and can be reached out via phone at 510-437-4564.

Location: 1411 East 31St Street Qic 22123, Oakland, CA, 94602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275020307
Provider Name
Shane Petrites
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1411 East 31St Street Qic 22123, Oakland, CA, 94602
Phone Number
510-437-4564
Fax Number
Provider Enumeration Date
04/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1411 East 31St Street Qic 22123
City
Oakland
State
California
Zip
94602
Phone Number
510-437-4564
Fax Number
person
Provider Business Mailing Address Details
Address
1411 East 31St Street Qic 22123
City
Oakland
State
California
Zip
94602
Phone Number
510-437-4564
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A166937 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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