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MOHAMMAD SHENASA MD NPI 1578621074


NPI Information

NPI: 1578621074
Provider Name: MOHAMMAD SHENASA, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
105 N BASCOM AVE
SUITE 204
SAN JOSE, CA
ZIP 95128
Phone: (408) 918-0400
Get Directions

Mohammad Shenasa, MD is an interventional cardiology internal medicine in San Jose, CA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Mohammad Shenasa, MD NPI is 1578621074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 N BASCOM AVE
SUITE 204
SAN JOSE, CA
ZIP 95128-811
Phone: (408) 918-0400
Fax: (408) 286-2922

The NPI 1578621074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 2/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyA50310CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A503100MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2F51059MEDICARE UPIN
36364725MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.