NPI | 1952592958 |
---|---|
Former Legal Business Name | SHAHRAM POURRABBANI M.D., INC |
Entity Type | Organization |
Authorized Contact | SHAHRAM JACOBS President/ Secretary/ Treasurer 818-981-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A89999) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2008-11-05 |