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NPI Code Detail

MEDICARE: DR. SHAHIN DELKHAH M.D.

MEDICARE: DR. SHAHIN DELKHAH M.D.
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 PhysicianA94156CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00421946OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2A94156OTHERCASTATE LICENSE #
3WA94156COTHERCAPPIN

General Provider Information

NPI Number : 1265477749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAHIN DELKHAH M.D.
Provider Business Mailing Address
First Line : 824 S WOOSTER ST
Second Line : #308
City : LOS ANGELES
State : CA
Zip : 90035-1753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18855 VICTORY BLVD
Second Line : ATTN BILLING DEPARTMENT
City : RESEDA
State : CA
Zip : 91335-6445
Country : US
Telephone Number : 818-774-3354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/07/2023

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Directions to “ DR. SHAHIN DELKHAH M.D.” Practice Location

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