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Individual
KOUROSH KEVIN SHAMLOU
Active
Individual
KOUROSH KEVIN SHAMLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79362
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
G79362
CA
Other
Enumeration date
08/26/2006
Last updated
08/02/2011
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