Individual
SHAHNAZ GHAHREMANI KOUREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-3075
(310) 825-6615
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
A114675
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A114675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F55520
—
CA
Enumeration date
09/11/2009
Last updated
12/13/2019
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