Charlene G Shough in San Jose - Pediatric Endocrinology
Charlene G Shough - NPI 1629173224
Charlene G Shough is a Pediatric Endocrinology in San Jose, California. Charlene G Shough practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Charlene G Shough is 1629173224. The last update date is 2007-09-12.
Charlene G Shough's current location address is 751 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4088855630. The mailing address for Charlene G Shough is 751 S Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charlene G Shough |
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Address | 751 S Bascom Ave, San Jose, California |
Phone Number | 4088855630 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1629173224 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
Address | 751 S Bascom Ave |
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City | San Jose |
State | California (CA) |
Post Code | 951282604 |
Phone Number | 4088855630 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Endocrinology |
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Taxonomy | 2080P0205X |
Licence No | G25692 |
Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00G256920 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charlene G Shough by the Centers for Medicare & Medicaid Services?
The Charlene G Shough has been assigned the NPI (National Provider Identifier) 1629173224. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charlene G Shough is located?
The Charlene G Shough is situated at the following address: 751 S Bascom Ave, San Jose, CA, 951282604.
What is the Charlene G Shough's specialty and taxonomy code?
The Charlene G Shough's specialty is Pediatric Endocrinology, and the corresponding taxonomy code is 2080P0205X.
When did the Charlene G Shough receive its 1629173224?
The Charlene G Shough was issued its 1629173224 on 2006-09-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Charlene G Shough last refreshed?
The information related to the Charlene G Shough, including its address, specialty, and other relevant details, was last updated on 2007-09-12.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN