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NPI Code Detail

MEDICARE: DR. ASHRAF ZADSHIR M.D.

MEDICARE: DR. ASHRAF ZADSHIR 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
1207Q00000XFamily Medicine PhysicianA100975CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A100975OTHERCAMEDICAL LICENCE NUMBER

General Provider Information

NPI Number : 1336314228
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHRAF ZADSHIR M.D.
Provider Business Mailing Address
First Line : 78120 WILDCAT DR
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-1140
Country : US
Telephone Number : 760-340-2682
Fax Number : 760-773-9695
Provider Business Practice Location Address
First Line : 78120 WILDCAT DR
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-1140
Country : US
Telephone Number : 760-340-2682
Fax Number : 760-773-9695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 12/07/2022

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