Individual
SHAHRAM AMINA
Active
Individual
SHAHRAM AMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C152681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229159
UNISON
OH
01
—
000000527961
ANTHEM
OH
05
—
1021976050001
—
PA
05
—
2763353
—
OH
01
—
414940
WELLCARE MEDICAID
OH
01
—
753033
BUCKEYE MEDICAID
OH
01
—
9698055
AETNA
OH
Enumeration date
05/08/2007
Last updated
12/22/2021
Update your record
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