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SHOKO EMILY ABE M.D.
>> Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1609178136
Individual Registrant: SHOKO EMILY ABE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3100 SAN PABLO AVE STE 430 BERKELEY, CA 94702-2498 US
Tel: 415-476-3358 Fax: 510-985-5202
Tel: 415-476-3358 Fax: 510-985-5202
Contact information for business:
3100 SAN PABLO AVE STE 430 BERKELEY, CA 94702-2498 US
Tel: 415-476-3358 Fax: 510-985-5202
Tel: 415-476-3358 Fax: 510-985-5202
Registration Information:
NPI: 1609178136
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208600000X | Allopathic & Osteopathic Physicians Surgery | NC | 2013-00996 |
| N | 208600000X | Allopathic & Osteopathic Physicians Surgery | PA | MT188328 |
| N | 208C00000X | Allopathic & Osteopathic Physicians Colon & Rectal Surgery | NE | 26133 |
| Y | 208600000X | Allopathic & Osteopathic Physicians Surgery | CA | A132984 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1609178136 | IA | 05 | |
| 47053395014 | NE | 05 | |
| 1609178136 | NC | 05 |
