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Individual
SHAHRAM JALALI
Active
Individual
SHAHRAM JALALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A82712
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A82712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19928
CORPORATION PTAN
CA
Enumeration date
05/09/2006
Last updated
10/28/2008
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