South Bay Cardiovascular Medical Group, INC
NPI #1003148073 in San Jose, California
Provider Information
- NPI Number
- 1003148073
- Entity Type
- Organization
- Organization Name
- South Bay Cardiovascular Medical Group, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 2, 2010
- Last Updated
- Aug 30, 2017
Practice Location
- Address
- 105 N BASCOM AVE
- Address 2
- SUITE 204
- City
- San Jose
- State
- California
- ZIP Code
- 95128-1811
- Phone
- (408) 918-0400
Authorized Official
- Name
- MOHAMMAD SHENASA, M.D.
- Title
- OWNER
- Phone
- (408) 918-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Specialist |
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