Individual
DR. SHAHRAM DANESHGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 LYNN RD, SUITE 300, THOUSAND OAKS, CA 91360-8010
(805) 371-8400
(805) 371-8404
Mailing address
2230 LYNN RD STE 300, THOUSAND OAKS, CA 91360-1991
(805) 371-8400
(805) 371-8404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A33755
CA
207RG0100X
Gastroenterology Physician
Primary
A33755
CA
207RI0008X
Hepatology Physician
A33755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337550
—
CA
Enumeration date
08/13/2006
Last updated
09/30/2020
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