| Fred F Shahan, MD | |
|
6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4904 | |
| (619) 287-1882 | |
| (619) 287-4121 |
| Full Name | Fred F Shahan |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 32 Years |
| Location | 6367 Alvarado Ct, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811913221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G83901 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. | 2163472879 | 2 |
| Anthony Huynh Medical Group Inc | 4082613161 | 5 |
| Entity Name | San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447334396 PECOS PAC ID: 2163472879 Enrollment ID: O20050309000264 |
| Entity Name | Anthony Huynh Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285746552 PECOS PAC ID: 4082613161 Enrollment ID: O20061219000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred F Shahan, MD 6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4904 Ph: (619) 287-1882 | Fred F Shahan, MD 6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4904 Ph: (619) 287-1882 |
Dr. Stephen Erik Hemperly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103 Phone: 619-298-9809 Fax: 619-298-9823 | |
Dr. Ghada K Kassab, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4606 Mission Bay Dr, San Diego, CA 92109 Phone: 858-273-2726 Fax: 858-273-2725 | |
Dr. Vikas Shrivastava, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-251-7471 | |
Dr. Michelle Terez Pelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103 Phone: 619-542-0013 Fax: 619-542-0559 | |
Dr. Jamison Derek Feramisco, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8898 Navajo Rd # C-349, San Diego, CA 92119 Phone: 619-650-5476 | |
Sharon Jacob-soo, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3860 Calle Fortunada, Ste #210, San Diego, CA 92123 Phone: 858-309-6303 Fax: 858-309-6301 | |
Dr. Susan Boiko, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8010 Frost St, Ste 602, San Diego, CA 92123 Phone: 858-966-6795 |