Individual
DR. SHAHRAM EHTESHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
432 LEXINGTON ST STE C, DELANO, CA 93215-3696
(661) 725-3122
(661) 721-2629
Mailing address
PO BOX 1228, BAKERSFIELD, CA 93302-1228
(661) 326-8002
(661) 281-2126
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A46324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A463241
—
CA
Enumeration date
11/23/2005
Last updated
06/19/2015
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