# DR. FARSHAD RAISSI SHABARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124295027
- **Gender:** Man
- **Credential:** M.D., M.P.H.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 99160 | CA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 99160 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2008
- **Last updated:** 11/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | W13536 | — | CA |