Shiva Shabnam MD

NPI #1316246416 in South Gate, California

Provider Information

NPI Number: 1316246416
Entity Type: Organization
Organization Name: Shiva Shabnam MD
Primary Specialty: Internal Medicine
Enumeration Date: Mar 15, 2011
Last Updated: Mar 15, 2011

Practice Location

Address: 3275 TWEEDY BLVD
City: South Gate
State: California
ZIP Code: 90280-4348
Phone: (818) 674-0450

Authorized Official

Name: SHIVA SHABNAM, MD
Title: PRESIDENT
Phone: (818) 674-0450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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