Provider Demographics
NPI:1346602315
Name:SHUAIB, MUHAMMAD TAJUDDIN
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:TAJUDDIN
Last Name:SHUAIB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23929 MCBEAN PKWY STE 216
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4468
Mailing Address - Country:US
Mailing Address - Phone:951-378-7023
Mailing Address - Fax:
Practice Address - Street 1:23929 MCBEAN PKWY STE 216
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4468
Practice Address - Country:US
Practice Address - Phone:818-782-5041
Practice Address - Fax:213-204-3794
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA153532207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease