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SHOKO EMILY ABE M.D.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609178136

Individual Registrant:
 SHOKO EMILY ABE M.D.
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

Contact information for business:
3100 SAN PABLO AVE STE 430  BERKELEY, CA 94702-2498 US
Tel: 415-476-3358  Fax: 510-985-5202

Registration Information:
NPI: 1609178136
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208600000XAllopathic & Osteopathic Physicians
Surgery
NC2013-00996
N208600000XAllopathic & Osteopathic Physicians
Surgery
PAMT188328
N208C00000XAllopathic & Osteopathic Physicians
Colon & Rectal Surgery
NE26133
Y208600000XAllopathic & Osteopathic Physicians
Surgery
CAA132984

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1609178136IA05
47053395014NE05
1609178136NC05




HEALTH CARE JOBS CA - Page 1



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