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Search › California › 133V00000X

Andre Shook

NPI 1457168304 · on the registry since 2024

Practice

Address
2627 Hanover St
Palo Alto, CA 94304
Phone
(979) 366-3564
Fax
(870) 408-4062
Organisation at this address
Kangaroohealth, Inc.
Rq Medical Group Ca Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
FL, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California