Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAM SHIESHA, MD, FAAFP
Active Sole ProprietorDR. SAM SHIESHA, MD, FAAFP is a Adolescent Medicine healthcare provider located in TEHACHAPI, California. NPI 1316046253 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · TEHACHAPI, CA
Registration Details
- NPI Number
- 1316046253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.929589238839 yrs)
- Last Updated
- Oct 20, 2011
- Licenses
-
A46051 (CA)A46051 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25101 BEAR VALLEY RDPMB 347TEHACHAPI, CA, 935618311Browse CA providers · Browse ZIP 93561
- Phone
- 6613352891
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
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.