Raymond M Shaheen MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A63071 Issued in CA

Legal business name

RAYMOND M SHAHEEN MD INC

Practice address

305 South Dr
Suite 7
Mountain View, CA 94040-4207

Phone

(650) 965-1909

Fax

(650) 965-1944

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Michael Shaheen, M.D., F.A.C.S.NPI 1114997434

Title

President/Owner

Phone

(650) 965-1909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Michael Shaheen I, M.D., F.A.C.S.

  • Vascular Surgery Physician
  • Mountain View, CA
  • NPI 1114997434
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1992982144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SOUTH DR",
            "address_2": "SUITE 7",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404207",
            "telephone_number": "650-965-1909",
            "fax_number": "650-965-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SOUTH DR",
            "address_2": "SUITE 7",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404207",
            "telephone_number": "650-965-1909",
            "fax_number": "650-965-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND M SHAHEEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "650-965-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A63071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ratta, MSW, LICSW, MPH
• Shilpa Raveendran Menon, DDS
• Ray C. Kuo, DMD, Inc.
• Ted Ray, L.AC.
• Elisangela Raya
• Kristin Razzeca, M.D.
• Michelle Rebman, BCBA
• Kavita M. Reddy, MD
• Rekha Bankulla Reddy, M.D.
• Shivani Reddy, M.D.

• Surgery Physician in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.