MEDICARE: DR. SHIREEN DANISHWAR D.C.

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	111N00000X	Chiropractor	DC29319	CA

General Provider Information

NPI Number	:	1831288265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIREEN DANISHWAR D.C.

Provider Business Mailing Address
First Line	:	4338 CALYPSO TER
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94555-1601
Country	:	US
Telephone Number	:	510-795-1431
Fax Number	:	510-796-7797

Provider Business Practice Location Address
First Line	:	5925 W LAS POSITAS BLVD STE 100
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8537
Country	:	US
Telephone Number	:	925-462-1755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	10/01/2024

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