Dr. Razeq Abdul Shetab
Infectious Disease
2030 Coffee Rd Suite B-1
Modesto
, California 95355-2413
Dr. Razeq Abdul Shetab
Infectious Disease
2030 Coffee Rd Suite B-1
Modesto
, California 95355-2413
(209) 599-6018
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Razeq Abdul Shetab
- 288 W Santos Ave
- Ripon, CA
- Zip : 95366-9337
- Fax : (209) 599-6018
- Phone : (209) 599-6018
Second Address
- Dr. Razeq Abdul Shetab
- 2030 Coffee Rd Suite B-1
- Modesto, CA
- Zip : 95355-2413
- Fax : (209) 578-3757
- Phone : (209) 578-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | A55408 | CA |
National Provider Identifier
| NPI | 1063414977 |
|---|---|
| Provider Name | Dr. Razeq Abdul Shetab |
| First Address | Ripon, CA 95366-9337 |
| Second Address | Modesto, CA 95355-2413 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 22/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A554081 | (05) | CA |
| G45812 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.