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Misha Shah Freyaldenhoven, MD
Specialist in San Luis Obispo, California
NPI 1437352739

Misha Shah Freyaldenhoven is a Specialist based in San Luis Obispo, CA. Misha Shah Freyaldenhoven practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Misha Shah Freyaldenhoven is 1437352739 and holds a License No. C50374 (California).

The current practice location address for Misha Shah Freyaldenhoven is 1288 Morro St Ste 200, San Luis Obispo, CA and can be reached out via phone at 805-543-1233 and via fax at 805-547-1179.

Location: 1288 Morro St Ste 200, San Luis Obispo, CA, 93401-6302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437352739
Provider Name
Misha Shah Freyaldenhoven
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1288 Morro St Ste 200, San Luis Obispo, CA, 93401-6302
Phone Number
805-543-1233
Fax Number
805-547-1179
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C50374 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1288 Morro St Ste 200
City
San Luis Obispo
State
California
Zip
93401-6302
Phone Number
805-543-1233
Fax Number
805-547-1179
person
Provider Business Mailing Address Details
Address
1288 Morro St Ste 200
City
San Luis Obispo
State
California
Zip
93401-6302
Phone Number
805-543-1233
Fax Number
805-547-1179
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C50374 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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