Provider Demographics
NPI:1306800339
Name:SHATZ, DAVID V (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:V
Last Name:SHATZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2315 STOCKTON BLVD., MH 4206
Mailing Address - Street 2:UC DAVIS MEDICAL CENTER - DIVISION OF TRAUMA
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-3950
Mailing Address - Fax:916-734-7755
Practice Address - Street 1:2315 STOCKTON BLVD. MH 4206
Practice Address - Street 2:UC DAVIS MEDICAL CENTER - DIVISION OF TRAUMA
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-3950
Practice Address - Fax:916-734-7755
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
FLME628572086S0102X
CA883782086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3711609-00Medicaid
FL17986Medicare ID - Type Unspecified
FLF39194Medicare UPIN