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

DR. SHAMMAH IBUKUN IKE, MD

Active

DR. SHAMMAH IBUKUN IKE, MD is a General Practice healthcare provider located in SAN MATEO, California. NPI 1619760410 is currently active in the NPPES registry. Verify at CMS.

General Practice · SAN MATEO, CA

Registration Details

NPI Number
1619760410
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2025 (1.2471903638754 yrs)
Last Updated
Sep 15, 2025
License
PTL18713 (CA)

Practice Information

Address
222 W 39TH AVE
SAN MATEO, CA, 944034364
Browse CA providers · Browse ZIP 94403
Phone
6505732530
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in SAN MATEO, CA

Name Credential NPI
DEMETRA SERENA STAMM M.D. 1396906269
DR. FARAH ZAIDI M.D. 1760828990
JONATHAN CHUN MING TSANG 1225563299
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.