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NPI Code Detail

MEDICARE: SHIMA DADASHZADEH DO

MEDICARE: SHIMA DADASHZADEH DO
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
1207R00000XInternal Medicine Physician20A25484CA

General Provider Information

NPI Number : 1144922113
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIMA DADASHZADEH DO
Provider Business Mailing Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 408-809-6654
Fax Number : 510-535-7313
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 408-809-6654
Fax Number : 510-535-4800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2023
Last Update Date : 06/04/2026

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Directions to “ SHIMA DADASHZADEH DO” Practice Location

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