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Individual

DR. SHARIAR COHEN-GADOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
566 SAINT CHARLES DR, THOUSAND OAKS, CA 91360-3953
(805) 449-8781
(805) 449-4224
Mailing address
566 SAINT CHARLES DR, THOUSAND OAKS, CA 91360-3953
(805) 449-8781
(805) 449-4224

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A88619
CA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A88619
MEDICAL LICENSE
CA
Enumeration date
01/31/2007
Last updated
08/12/2021
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