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Individual

DR. FARSHAD RAISSI SHABARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-5743
(619) 543-2917
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
99160
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
99160
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
W13536
CA
Enumeration date
05/11/2008
Last updated
11/27/2017
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