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Individual

SHAHRAM SHAWN GHOLAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2460 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 358-2030
Mailing address
2460 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 358-2030
(408) 358-2039

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A65099
CA
2088P0231X
Pediatric Urology Physician
A65099
CA

Other

Enumeration date
11/16/2006
Last updated
10/25/2019
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