# SHAHNAZ KERAMATI M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619001245
- **Authorized official:** SHAHNAZ KERAMATI (DOCTOR)
- **Authorized official phone:** (310) 672-9852

## Contact information

- **Practice address:** 10507 HAWTHORNE BLVD, INGLEWOOD, CA 90304-1911
- **Practice address phone:** (310) 672-9852
- **Practice address fax:** (310) 672-9853
- **Mailing address:** 10507 HAWTHORNE BLVD, INGLEWOOD, CA 90304-1911
- **Mailing address phone:** (310) 672-9852
- **Mailing address fax:** (310) 672-9853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 07/30/2008