Provider Demographics
NPI:1043205784
Name:SHOWAH, HENRY F (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:F
Last Name:SHOWAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9600 CUYAMACA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2692
Mailing Address - Country:US
Mailing Address - Phone:619-258-6200
Mailing Address - Fax:619-258-0028
Practice Address - Street 1:6260 EL CAMINO REAL # 100
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-1609
Practice Address - Country:US
Practice Address - Phone:760-476-2953
Practice Address - Fax:760-476-2963
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2021-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA52139207PE0005X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1023553633Medicaid
CAWA52139AMedicare ID - Type Unspecified