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

BENJAMIN D SHADLE, M.D.

Active Sole Proprietor

BENJAMIN D SHADLE, M.D. is a General Surgery healthcare provider located in ROSEVILLE, California. NPI 1316928070 is currently active in the NPPES registry. Verify at CMS.

General Surgery · ROSEVILLE, CA

Registration Details

NPI Number: 1316928070
Provider Type: Individual
Gender: Male
NPI Issued: Nov 9, 2005 (20.778739496692 yrs)
Last Updated: Oct 19, 2016
License: A99595 (CA)
Sole Proprietor: Yes

Practice Information

Address: 3 MEDICAL PLAZA

SUITE 200

ROSEVILLE, CA, 95661
Browse CA providers · Browse ZIP 95661
Phone: 9167738750
Fax: 9167737963
Primary Specialty: General Surgery
208600000X

Other General Surgery Providers in ROSEVILLE, CA

Name	Credential	NPI
THOMAS MICHAEL POLIDORE	MD	1366424095
DR. GLENN SAU-SHUN TSE	MD	1356325104
DR. ROLF N GULBRANDSON	M.D.	1841270352
DR. ANDREW RICHARD DE MAR JR.	M.D.	1891716023
DR. MICHAEL GLENN RIDGEWAY	M.D.	1952322083
DR. PHILIP BOSCO	M.D.	1376566422

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.