Charlene G Shough
MD | Pediatric Endocrinology | Female
Charlene G Shough, MD is a San Jose, California based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Charlene G Shough is
751 S Bascom Ave, Pediatrics Dept, San Jose, California - 95128-2604. She can be contacted on phone at
408-885-5630.
Charlene G Shough is a sole proprietor of her business.
NPI number (Unique professional ID) for Charlene G Shough is
1629173224 which was assigned by NPPES on 14 Sep, 2006 and it was last updated on 12 Sep, 2007.
Charlene G Shough license number is
G25692 for Pediatrics Pediatric Endocrinology (2080P0205X) in California.
Charlene G Shough provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Charlene G Shough basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Charlene G Shough |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Charlene G Shough address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 751 S Bascom Ave, Pediatrics Dept
San Jose, CA, 95128-2604
United States |
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| Phone Number : | 408-885-5630 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629173224 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Sep, 2006 |
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| Last Updated On : | 12 Sep, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlene G Shough are as mentioned. Primary taxonomy code for Charlene G Shough, MD is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G25692 | CA |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | G25692 | CA |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | G25692 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Charlene G Shough such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G256920 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 751 S Bascom Ave
San Jose, CA, 95128-2604
United States |
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| Phone Number : | 408-885-5000 |
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Business Location:
Patients can refer following map for directions to
Charlene G Shough practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.