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Individual

HOMAYOON SHAHIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 PRINGLE WAY STE 801, RENO, NV 89502-8400
(775) 982-2820
(775) 982-2821
Mailing address
6555 COYLE AVE STE 301, CARMICHAEL, CA 95608-0303
(916) 962-1544

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C53428
CA
207RX0202X
Medical Oncology Physician
8967
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13897788
CAQH ID
NV
01
20119
MEDICAL LICENSE
NV
01
C53428
MEDICAL LICENSE
CA
Enumeration date
07/22/2006
Last updated
07/31/2020
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