Individual
DR. KAMSHAD RAISZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7525 METROPOLITAN DR STE 306, SAN DIEGO, CA 92108-4404
(619) 275-7460
(866) 813-1235
Mailing address
7525 METROPOLITAN DR STE 306, SAN DIEGO, CA 92108-4404
(619) 275-7460
(866) 813-1235
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G74016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G74016
LICENSE NUMBER
CA
Enumeration date
12/28/2006
Last updated
04/23/2025
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