| Shahrzad Shareghi MD PC | |
|
235 N Conejo School Rd Apt 110 Thousand Oaks CA 91362-2675 | |
| (646) 245-5415 | |
| Not Available |
| Full Name | Shahrzad Shareghi MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 235 N Conejo School Rd Apt 110, Thousand Oaks, California |
| Authorized Official Name and Position | Shahrzad Shareghi (PRESIDENT) |
| Authorized Official Contact | 6462455415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahrzad Shareghi MD PC 2220 Lynn Rd Ste 208 Thousand Oaks CA 91360-8042 Ph: (646) 245-5415 | Shahrzad Shareghi MD PC 235 N Conejo School Rd Apt 110 Thousand Oaks CA 91362-2675 Ph: (646) 245-5415 |
| NPI Number | 1912322728 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Medicare PECOS PAC ID | 0547493637 |
|---|---|
| Medicare Enrollment ID | O20140424001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912322728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Primary |
| Provider Name | Shahrzad Shareghi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811176720 PECOS PAC ID: 5395893614 Enrollment ID: I20110406000428 |
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