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MRS. SHAMA PATHAN FAROOQUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4650 SUNSET BLVD., DEPARTMENT OF ANESTHESIOLOGY, LOS ANGELES, CA 90027
(323) 361-2262
Mailing address
6308 SEAWALK DR, LOS ANGELES, CA 90094-2270
(919) 622-1623

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
171982
NC

Other

Enumeration date
05/13/2006
Last updated
02/18/2021
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