Organization
MOHTASHAM SHALIKAR
Active
Other names
Discount Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHTASHAM SHALIKAR MASTER OF ART IN POP (OWNER MANAGER)
(951) 343-1082
Entity
Organization
Contact information
Practice address
6570 MAGNOLIA AVE, RIVERSIDE, CA 92506-2410
(951) 343-1082
(951) 343-1363
Mailing address
6570 MAGNOLIA AVE, RIVERSIDE, CA 92506-2410
(951) 343-1082
(951) 343-1363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02100F
—
CA
Enumeration date
01/10/2006
Last updated
11/06/2007
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