Individual
KIARASH SHAHLAIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF NEUROLOGICAL SURGERY, 4860 Y STREET, SUITE #3740, SACRAMENTO, CA 95817
(916) 734-3071
(916) 452-2580
Mailing address
DEPARTMENT OF NEUROLOGICAL SURGERY, 4860 Y STREET, SUITE #3740, SACRAMENTO, CA 95817
(916) 734-3071
(916) 452-2580
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A79635
CA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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