Individual
BANAFSHEH B SHAIBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
48 ARBORSIDE, IRVINE, CA 92603-0111
(949) 887-4109
Mailing address
48 ARBORSIDE, IRVINE, CA 92603-0111
(949) 887-4109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91872
CA
207R00000X
Internal Medicine Physician
A91872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A918720
—
CA
Enumeration date
11/01/2006
Last updated
10/21/2020
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