Provider Demographics
NPI:1669896601
Name:ALAMEDA URGENT CARE CURTIS MD & SHEFAYEE PA, INC
Entity type:Organization
Organization Name:ALAMEDA URGENT CARE CURTIS MD & SHEFAYEE PA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFAYEE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:510-541-3296
Mailing Address - Street 1:2421 ENCINAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5670
Mailing Address - Country:US
Mailing Address - Phone:510-995-8200
Mailing Address - Fax:510-995-8052
Practice Address - Street 1:2421 ENCINAL AVE STE A
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5670
Practice Address - Country:US
Practice Address - Phone:510-995-8200
Practice Address - Fax:510-995-8052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty