Individual
SHAHRYAR AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2760 ATLANTIC AVE, LONG BEACH, CA 90806-2755
(562) 424-6666
(562) 424-7122
Mailing address
2760 ATLANTIC AVE, LONG BEACH, CA 90806-2755
(562) 245-8215
(562) 989-0027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
105068
MN
207X00000X
Orthopaedic Surgery Physician
53253
MN
207X00000X
Orthopaedic Surgery Physician
Primary
C146477
CA
207X00000X
Orthopaedic Surgery Physician
E-7112
AR
Other
Enumeration date
08/11/2010
Last updated
08/15/2022
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