# SHAHRAM ABBASSI MD INC

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

## Provider details

- **NPI number:** 1689805624
- **Authorized official:** SHAHRAM ABBASSI M.D. (SOLE OWNER)
- **Authorized official phone:** (707) 633-6080

## Contact information

- **Practice address:** 3800 JANES RD, ARCATA, CA 95521-4742
- **Practice address phone:** (707) 822-3621
- **Practice address fax:** (707) 633-6086
- **Mailing address:** PO BOX 725, BAYSIDE, CA 95524-0725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A51286 | CA | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009
