SHIVA SHABNAM MD

SOUTH GATE, CA
NPI1316246416
Entity TypeOrganization
Authorized ContactSHIVA SHABNAM
President
818-674-0450
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  a110335)
Enumeration Date2011-03-15
Last Update Date2011-03-15
Business Address
SHIVA SHABNAM MD
3275 TWEEDY BLVD
SOUTH GATE, CA 90280-4348
Phone number: 818-674-0450
Mailing Address
SHIVA SHABNAM MD
PO BOX 27851
ANAHEIM, CA 92809-0128
Phone number: 818-674-0450
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