Individual
MR. SHAHID HUSSAIN SIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, STE 616, LOS ANGELES, CA 90017-4806
(310) 400-4189
(310) 347-4246
Mailing address
1245 WILSHIRE BLVD, STE 616, LOS ANGELES, CA 90017-4806
(310) 400-4189
(310) 347-4246
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A49659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A496590
BLUE SHIELD PIN
CA
05
—
00A496590
—
CA
01
—
562426145
TAX ID
CA
Enumeration date
07/29/2005
Last updated
11/02/2017
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