Nael Shahatto MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A52423 Issued in CA

Legal business name

NAEL SHAHATTO MD INC

Practice address

399 E Highland Ave
Suite 309
San Bernardino, CA 92404-3808

Phone

(909) 883-9953

Fax

(909) 883-2840

NPI assigned

May 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nael M Shahatto, M.D.

Title

Owner

Phone

(909) 883-9953

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1740457605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22421 BARTON RD # 296",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135008",
            "telephone_number": "909-883-9953",
            "fax_number": "909-883-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 309",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-883-9953",
            "fax_number": "909-883-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAEL SHAHATTO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "SHAHATTO",
        "authorized_official_first_name": "NAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-883-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A52423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A524230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ahmed M. Naji, D.D.S

• Infectious Disease Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.