Individual
CYRUS SHABRANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056
(760) 940-4055
(760) 940-4084
Mailing address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-4055
(760) 940-4084
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301100774
MI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A153042
CA
2085R0204X
Vascular & Interventional Radiology Physician
PG183127
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
05/13/2018
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