Healthcare Provider Details

I. General information

NPI: 1831288265
Provider Name (Legal Business Name): SHIREEN DANISHWAR D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 W LAS POSITAS BLVD STE 100
PLEASANTON CA
94588-8537
US

IV. Provider business mailing address

4338 CALYPSO TER
FREMONT CA
94555-1601
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-1755
  • Fax:
Mailing address:
  • Phone: 510-795-1431
  • Fax: 510-796-7797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: