Individual
DR. SHAWN JOHN IFTIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13652 CANTARA ST, DEPT PHYSICAL MEDICINE & REHABILITATION NORTH 2, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Mailing address
13652 CANTARA ST, DEPT PHYSICAL MEDICINE & REHABILITATION NORTH 2, PANORAMA CITY, CA 91402-5423
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A108249
CA
Other
Enumeration date
06/26/2007
Last updated
11/30/2021
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