Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A122136 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A122136 | CA |
NPI | 1972727063 |
---|---|
Provider Name | Shaheen Michael Counts |
First Address | Lafayette, CA 94549-3717 |
Second Address | Castro Valley, CA 94546-5305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 20/10/2021 |