Organization
SHAHIN ETEBAR MD INC
Active
Organization
SHAHIN ETEBAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIN ETEBAR MD (PRESIDENT)
(760) 346-8058
Entity
Organization
Contact information
Practice address
36101 BOB HOPE DR STE B2, RANCHO MIRAGE, CA 92270-2003
(760) 346-8058
(417) 890-9127
Mailing address
PO BOX 1299, RANCHO MIRAGE, CA 92270-1053
(760) 346-8058
(417) 890-9127
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
CA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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