| Jack Shenouda Md Corp | |
|
1016 Cactus Ct Thousand Oaks CA 91320-5907 | |
| (717) 557-3938 | |
| Not Available |
| Full Name | Jack Shenouda Md Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1016 Cactus Ct, Thousand Oaks, California |
| Authorized Official Name and Position | Jack Shenouda (CEO) |
| Authorized Official Contact | 7175573938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Shenouda Md Corp 1016 Cactus Ct Thousand Oaks CA 91320-5907 Ph: () - | Jack Shenouda Md Corp 1016 Cactus Ct Thousand Oaks CA 91320-5907 Ph: (717) 557-3938 |
| NPI Number | 1962987222 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Medicare PECOS PAC ID | 5799163739 |
|---|---|
| Medicare Enrollment ID | O20220603001770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962987222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jack T Shenouda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023247822 PECOS PAC ID: 9739337239 Enrollment ID: I20160606000606 |
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