Abbassi, Shahram
Abbassi, Shahram is an sole proprietor health care provider with primary practice located at 3800 Janes Rd , Arcata CA 95521-4742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Abbassi, Shahram can be contacted via phone (707) 822-3621.Contact Information
Primary practice address
3800 Janes Rd
Arcata CA 95521-4742
Phone: (707) 822-3621
Fax: (707) 633-6086
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A51286 | California |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A51286 | California |
Profile Details
NPI number | 1396774139 |
---|---|
LBN Legal business name | Abbassi, Shahram |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2006 |
Last updated | Jan 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396774139 | NPPES |
Pennsylvania | MEDICAID | 00001256807008 | |
Pennsylvania | Other | 685174 |
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