Individual
DR. KAMYAR SHAHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 20TH ST STE 280, SANTA MONICA, CA 90404-2053
(310) 829-6789
(310) 935-3163
Mailing address
PO BOX 352324, LOS ANGELES, CA 90035-0259
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A114265
CA
Other
Enumeration date
05/04/2009
Last updated
08/13/2020
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