Taher A Shams

NPI #1508934415 in Yucaipa, California

Provider Information

NPI Number: 1508934415
Entity Type: Individual
Name: Taher A Shams
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Nov 30, 2006
Last Updated: Jun 11, 2010

Practice Location

Address: 34845 YUCAIPA BLVD.,
Address 2: SUITE #A
City: Yucaipa
State: California
ZIP Code: 92399-4237
Phone: (909) 480-5691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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