Mashadian, Shahram

Mashadian, Shahram is an individual health care provider with primary practice located at 12640 Hesperia Rd Ste A , Victorville CA 92395-7753. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Mashadian, Shahram can be contacted via phone (760) 241-3336.

Contact Information

Primary practice address
12640 Hesperia Rd Ste A Victorville CA 92395-7753
Phone: (760) 241-3336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X OMS69 California
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A96072 California

Profile Details

NPI number 1811107709
LBN Legal business name Mashadian, Shahram
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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.

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