Individual
SHAHRIAR GHODSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 LYNN RD #115, THOUSAND OAKS, CA 91360-8031
(800) 266-4761
Mailing address
PO BOX 5248, BEVERLY HILLS, CA 90209-5248
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A72696
CA
207RP1001X
Pulmonary Disease Physician
A72696
CA
Other
Enumeration date
05/19/2006
Last updated
08/28/2014
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