Provider Demographics
NPI:1508231135
Name:SHAIKEN, MARIELA SOFIA (NP)
Entity Type:Individual
Prefix:MS
First Name:MARIELA
Middle Name:SOFIA
Last Name:SHAIKEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARIELA
Other - Middle Name:SOFIA
Other - Last Name:SHAIKEN MANZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:3333 CALIFORNIA ST # S1-10
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1981
Mailing Address - Country:US
Mailing Address - Phone:415-353-1383
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE FL 12
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-353-1383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003334207RH0003X
CA738643207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology