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Organization
SHAHRAM TABIB MD A MEDICAL CORPORATION
Active
Organization
SHAHRAM TABIB MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM TABIB MD (PRESIDENT / OWNER)
(310) 597-9786
Entity
Organization
Contact information
Practice address
1300 NORTH VERMONT AVE, LOS ANGELES, CA 90027
(323) 913-4892
Mailing address
8581 SANTA MONICA BLVD, #421, WEST HOLLYWOOD, CA 90069
(310) 597-9786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
04/03/2009
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