MEDICARE: SHIRZAD A. ABRAMS, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	A30870	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699796813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIRZAD A. ABRAMS, M.D., INC.

Provider Business Mailing Address
First Line	:	16311 VENTURA BLVD
Second Line	:	SUITE 1150
City	:	ENCINO
State	:	CA
Zip	:	91436-2124
Country	:	US
Telephone Number	:	818-501-5326
Fax Number	:	818-501-6958

Provider Business Practice Location Address
First Line	:	16311 VENTURA BLVD
Second Line	:	SUITE 1150
City	:	ENCINO
State	:	CA
Zip	:	91436-2124
Country	:	US
Telephone Number	:	818-501-5326
Fax Number	:	818-501-6958

Authorized Official
Title or Position	:	BOOK KEEPER
Name	:	ERITE DANIAL
Credential	:
Telephone Number	:	818-501-5326

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/03/2022

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Directions to “SHIRZAD A. ABRAMS, M.D., INC. ” Practice Location

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