Organization
DELARAM GHADISHAH, MD., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELARAM GHADISHAH MD (PRESIDENT)
(310) 560-8300
Entity
Organization
Contact information
Practice address
5925 SAN VICENTE BLVD, LOS ANGELES, CA 90019-6630
(323) 932-5105
(323) 938-3161
Mailing address
PO BOX 661748, ARCADIA, CA 91066-1748
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A070084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A700840
—
CA
Enumeration date
11/20/2006
Last updated
07/08/2008
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