Individual provider · Type 1 NPI

Shady Faltaous, MD

Diagnostic Radiology Physician · San Diego, CA

NPI number 1104627165 Active

Practice location

200 W Arbor Dr # MC8756
San Diego, CA 92103-1911

Call (858) 657-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XA210658 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104627165

Shady Faltaous, MD's National Provider Identifier is 1104627165, issued on Mar 24, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Diego, CA. The record was last updated on Jul 26, 2026.