Provider First Line Business Practice Location Address:
SHASA MEDICAL GROUP MEDICAL DIRECTOR: MILLIADAIRE SYVER
Provider Second Line Business Practice Location Address:
88 TULLY ROAD, SUITE 110
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-294-9234
Provider Business Practice Location Address Fax Number:
408-564-5868
Provider Enumeration Date:
01/22/2025