Tchaka Bayete Shepherd in Long Beach - Surgery
Tchaka Bayete Shepherd - NPI 1124078670
Tchaka Bayete Shepherd is a Surgery in Long Beach, California. Tchaka Bayete Shepherd practices all healthcare services and medical treatments related to Surgery. The NPI Number for Tchaka Bayete Shepherd is 1124078670. The last update date is 2010-12-14.
Tchaka Bayete Shepherd's current location address is 701 E 28th Street, Long Beach, California. You can contact this provider via phone number 5624271322 and fax number 5624274282. The mailing address for Tchaka Bayete Shepherd is 701 E 28th Street, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tchaka Bayete Shepherd |
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Address | 701 E 28th Street, Long Beach, California |
Phone Number | 5624271322 |
Fax Number | 5624274282 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1124078670 |
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Provider Enumeration Date | 2006-05-12 |
Last Updated Date | 2010-12-14 |
Provider Mailing Address Detail
Address | 701 E 28th Street |
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City | Long Beach |
State | California (CA) |
Post Code | 90806 |
Phone Number | 5624271322 |
Fax Number | 5624274282 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | A72326 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
OOA723260 | CA | -- |
Post Comment/ Review Below
What is the Tchaka Bayete Shepherd's unique identification number?
The Tchaka Bayete Shepherd has been assigned the NPI (National Provider Identifier) Number 1124078670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Tchaka Bayete Shepherd is physically located?
The Tchaka Bayete Shepherd is physically situated at the following address: 701 E 28Th Street, Long Beach, CA, 90806.
What is Tchaka Bayete Shepherd's area of expertise and its corresponding taxonomy classification?
The Tchaka Bayete Shepherd's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did Tchaka Bayete Shepherd receive its 1124078670 assignment from the Centers for Medicare & Medicaid Services?
The Tchaka Bayete Shepherd was assigned its 1124078670 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Tchaka Bayete Shepherd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tchaka Bayete Shepherd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-14.