DR. Shane Petrites, MD is a student in an organized health care education training program in Oakland, CA with 6 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Shane Petrites, MD NPI is 1275020307. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1411 EAST 31ST STREET QIC 22123
OAKLAND, CA
ZIP 94602
Phone: (510) 437-4564
The NPI 1275020307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/14/2018 and was last updated on 10/12/2021.