Organization
SHARIAR COHEN MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHARIAR COHEN-GADOL M.D (PRESIDENT)
(310) 709-3564
Entity
Organization
Contact information
Practice address
566 SAINT CHARLES DR, THOUSAND OAKS, CA 91360-3953
(805) 449-8781
(805) 449-4224
Mailing address
566 SAINT CHARLES DR, THOUSAND OAKS, CA 91360-3953
(805) 449-8781
(805) 449-4224
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A88619
CA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
CA
261QR0200X
Radiology Clinic/Center
A88619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88619
MEDICAL LICENSE
CA
Enumeration date
04/02/2009
Last updated
09/12/2023
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