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Individual
DR. SHAHAB KHAZANEHDARI
Active
Individual
DR. SHAHAB KHAZANEHDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
334807
LA
2084A2900X
Neurocritical Care Physician
Primary
A170719
CA
2084A2900X
Neurocritical Care Physician
ME150139
FL
2084N0400X
Neurology Physician
334807
LA
Other
Enumeration date
04/23/2015
Last updated
04/30/2026
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