Provider Demographics
NPI:1750559589
Name:SHORT, ABIADE CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:ABIADE
Middle Name:CHRISTOPHER
Last Name:SHORT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3177 OCEAN VIEW BLVD
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92113-1432
Mailing Address - Country:US
Mailing Address - Phone:619-662-4100
Mailing Address - Fax:619-531-7043
Practice Address - Street 1:3177 OCEAN VIEW BLVD
Practice Address - Street 2:SUITE # 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-1432
Practice Address - Country:US
Practice Address - Phone:619-662-4100
Practice Address - Fax:619-531-7043
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2015-02-25
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Provider Licenses
StateLicense IDTaxonomies
MI4301088473207V00000X
CAA114893207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology