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Individual
SHANT TOMASSIAN
Active
Individual
SHANT TOMASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A179858
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A179858
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
PTL1731
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2019
Last updated
07/18/2022
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