Shannaleah Shahedi, Masters
Physician Assistant in San Rafael, CA. Individual provider (NPI-1).
NPI number1255071981
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1255071981
- Entity type
- Individual (NPI-1)
- Name
- Shannaleah Shahedi
- Credential
- Masters
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2022
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 65493 | CA | Yes |
Practice location
800 A StSan Rafael, CA 94901-3011
Phone 415-457-8182 · Fax 415-457-7471
Mailing address
Po Box 3517San Rafael, CA 94912-3517
Phone 415-457-8182 · Fax 415-457-7471
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All 45 Physician Assistant providers in San Rafael · All 3,698 providers in San Rafael
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