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General NPI Number Information
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NPI Number | 1902794597
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Entity Type | Organization
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Legal Business Name | SHIREEN GHORBANI, MD, INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 130 LA CASA VIA STE 102
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3025
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Country | US
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Telephone | 925-488-9006
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Fax | 925-488-4277
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Provider Business Mailing Address
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Address Line | 130 LA CASA VIA STE 102
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SHIREEN GHORBANI
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Credential | MD
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Telephone | 925-488-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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