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Gary G Shi Md Inc
Hematology & Oncology Physician in Jackson, California
NPI 1619063435

Gary G Shi Md Inc is a Hematology & Oncology Physician based in Jackson, CA and is specialized in Hematology & Oncology. Gary G Shi Md Inc practices in Jackson, CA. The NPI Number for Gary G Shi Md Inc is 1619063435 and holds a License No. A92230 (California).

The current practice location address for Gary G Shi Md Inc is 617 New York Ranch Rd, Jackson, CA and can be reached out via phone at 209-257-0292 and via fax at 209-257-0676.

Location: 617 New York Ranch Rd, Jackson, CA, 95642-9328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619063435
Provider Name
Gary G Shi Md Inc
Credential
Provider Entity Type
Organization
Address
617 New York Ranch Rd, Jackson, CA, 95642-9328
Phone Number
209-257-0292
Fax Number
209-257-0676
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A922300 05 CA
institution
Provider Business Practice Location Address Details
Address
617 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9328
Phone Number
209-257-0292
Fax Number
209-257-0676
person
Provider Business Mailing Address Details
Address
617 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9328
Phone Number
209-257-0292
Fax Number
209-257-0676
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A92230 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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