Individual
SHYAM DAHIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 SOUTH ST, SUITE 412, LAKEWOOD, CA 90712-1502
(562) 602-1012
(562) 602-1915
Mailing address
3650 SOUTH ST, SUITE 412, LAKEWOOD, CA 90712-1502
(562) 602-1012
(562) 602-1915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A39644
CA
Other
Enumeration date
07/08/2006
Last updated
07/25/2010
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