Shenasa, Mohammad

Shenasa, Mohammad is an individual health care provider with primary practice located at 105 N Bascom Ave Suite 204, San Jose CA 95128-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Shenasa, Mohammad can be contacted via phone (408) 918-0400.

Contact Information

Primary practice address
105 N Bascom Ave Suite 204 San Jose CA 95128-1811
Phone: (408) 918-0400
Fax: (408) 286-2922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A50310 California

Profile Details

NPI number 1578621074
LBN Legal business name Shenasa, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 7th, 2008 - about 17 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 1578621074 NPPES
California MEDICAID 6364725

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