Most Relevant Information
Provider Data
| NPI Number: | 1003259698 |
| Provider Name: | EMMA B SHAK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2013 |
| Last Updated: | 08/04/2015 |
Provider Practice Location
505 PARNASSUS AVE
SAN FRANCISCO
CA
941431059
Practice Location Phone/Fax
| Phone: | 4154761528 |
| Fax: |
Provider Mailing Location
505 PARNASSUS AVE
SAN FRANCISCO
CA
941431059
Provider Mailing Phone/Fax
| Phone: | 4154761528 |
| Fax: |