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Taher A Shams
General Practice Physician in Yucaipa, California
NPI 1508934415

Taher A Shams is a General Practice Physician based in Yucaipa, CA. Taher A Shams practices in Yucaipa, CA. The NPI Number for Taher A Shams is 1508934415 and holds a License No. A41410 (California).

The current practice location address for Taher A Shams is 34845 Yucaipa Blvd.,, Yucaipa, CA and can be reached out via phone at 909-480-5691 and via fax at 909-790-5878.

Location: 34845 Yucaipa Blvd.,, Yucaipa, CA, 92399-4237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508934415
Provider Name
Taher A Shams
Credential
Provider Entity Type
Individual
Gender
Male
Address
34845 Yucaipa Blvd.,, Yucaipa, CA, 92399-4237
Phone Number
909-480-5691
Fax Number
909-790-5878
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A414100 05 CA
institution
Provider Business Practice Location Address Details
Address
34845 Yucaipa Blvd.,
City
Yucaipa
State
California
Zip
92399-4237
Phone Number
909-480-5691
Fax Number
909-790-5878
person
Provider Business Mailing Address Details
Address
34845 Yucaipa Blvd.,
City
Yucaipa
State
California
Zip
92399-4237
Phone Number
909-480-5691
Fax Number
909-790-5878
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A41410 (California)
Definition
Definition to come...
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