Individual
SHAHRAM SEAN DANESHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9333 GENESEE AVE, SAN DIEGO, CA 92121
(858) 882-8350
(858) 882-8383
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 882-8350
(858) 882-8383
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A63844
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A63844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A638440
—
CA
Enumeration date
11/15/2006
Last updated
08/22/2018
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