Provider Demographics
NPI:1336124452
Name:SEM, SHOBHA (MD)
Entity Type:Individual
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First Name:SHOBHA
Middle Name:
Last Name:SEM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PSC80,BOX13453
Mailing Address - Street 2:APO,AP,96367
Mailing Address - City:KADENA AB
Mailing Address - State:OKINAWA
Mailing Address - Zip Code:96367
Mailing Address - Country:JP
Mailing Address - Phone:011-630-4305
Mailing Address - Fax:315-630-4230
Practice Address - Street 1:PSC80,BOX13453
Practice Address - Street 2:APO,AP,96367
Practice Address - City:KADENA AB
Practice Address - State:OKINAWA
Practice Address - Zip Code:96367
Practice Address - Country:JP
Practice Address - Phone:011-630-4305
Practice Address - Fax:315-630-4230
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-12
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0005822207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine