Individual
SHADI YADEGARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 W ALAMEDA AVE, SUITE 208, BURBANK, CA 91505-4800
(310) 558-7075
Mailing address
2601 W ALAMEDA AVE, SUITE 208, BURBANK, CA 91505-4800
(818) 558-7075
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4946
CA
Other
Enumeration date
02/05/2014
Last updated
10/01/2014
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