| Shiva Shabnam Md | |
|
3275 Tweedy Blvd South Gate CA 90280-4348 | |
| (818) 674-0450 | |
| (714) 731-8310 |
| Full Name | Shiva Shabnam Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 3275 Tweedy Blvd, South Gate, California |
| Authorized Official Name and Position | Shiva Shabnam (PRESIDENT) |
| Authorized Official Contact | 8186740450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiva Shabnam Md Po Box 27851 Anaheim CA 92809-0128 Ph: (818) 674-0450 | Shiva Shabnam Md 3275 Tweedy Blvd South Gate CA 90280-4348 Ph: (818) 674-0450 |
| NPI Number | 1316246416 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 03/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316246416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A110335 (California) | Primary |
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