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Shayna Portanova Cooperman, MD

Student in an Organized Health Care Education/Training Program in Palo Alto, CA. Individual provider (NPI-1).

NPI number1871237644
StatusActive
Last updated in NPPESApr 26, 2022

Details

NPI
1871237644
Entity type
Individual (NPI-1)
Name
Shayna Portanova Cooperman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2022
Certification date
Apr 26, 2022
Last updated
Apr 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

801 Welch Rd
Palo Alto, CA 94304-1611

Phone 650-725-6500 · Fax 650-725-8502

Mailing address

801 Welch Rd
Palo Alto, CA 94304-1611

Phone 650-725-6500 · Fax 650-725-8502

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