Individual
SHAHRAM ABBASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 822-3621
(707) 633-6086
Mailing address
PO BOX 725, BAYSIDE, CA 95524-0725
(707) 822-7220
(707) 633-6086
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A51286
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A51286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001256807008
—
PA
01
—
685174
HIGHMARK BCBS
PA
Enumeration date
07/02/2006
Last updated
01/30/2013
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