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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADI RASHTAK, MD

Active

SHADI RASHTAK, MD is a Dermatology healthcare provider located in VALLEJO, California. NPI 1053546416 is currently active in the NPPES registry. Verify at CMS.

Dermatology · VALLEJO, CA

Registration Details

NPI Number
1053546416
Provider Type
Individual
Gender
Female
NPI Issued
May 28, 2009 (17.230738810566 yrs)
Last Updated
Feb 2, 2022
Licenses
47222 (KY)
54232 (MN)
V149698 (CA)
35123652 (OH)

Practice Information

Address
975 SERENO DR
VALLEJO, CA, 945892441
Browse CA providers · Browse ZIP 94589
Phone
7076511000
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Dermatology
Additional Specialty
Dermatology

Other Dermatology Providers in VALLEJO, CA

Name Credential NPI
SERENA MRAZ M.D. 1518911395
DR. MONICA A LAWRY M.D. 1417998816
EILEEN CROWLEY MD 1437237245
ROBIN ST. CLAIR GRAY MD 1679651483
PARADI MIRMIRANI MD 1780758086
MEGHAN ELIZABETH KENNEDY PA-C 1821238569
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.