DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SHAHAB KHAZANEHDARI M.D.

MEDICARE: DR. SHAHAB KHAZANEHDARI 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
12084N0400XNeurology Physician334807LA
22084A2900XNeurocritical Care PhysicianA170719CA
32084A2900XNeurocritical Care PhysicianME150139FL
42084A2900XNeurocritical Care Physician334807LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790172179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAHAB KHAZANEHDARI M.D.
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 101 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3201
Country : US
Telephone Number : 714-456-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2015
Last Update Date : 09/24/2024

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:
3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208
Practice Phone: 845-987-9700
Practice Fax:
1821558594 — ERIC ZUNIGA MD
Practice Location Address:
101 THE CITY DR S
ORANGE, CA
92868-3201
Practice Phone: 714-456-7890
Practice Fax:
1770162349 — JULIE FERRIS MD
Practice Location Address:
101 THE CITY DR S
ORANGE, CA
92868-3201
Practice Phone: 714-456-7016
Practice Fax:
1902548159 — PHILION LUCAS HOFF MD
Practice Location Address:
101 THE CITY DR S , UC IRVINE MEDICAL CENTER
ORANGE, CA
92868-3201
Practice Phone: 714-456-7890
Practice Fax:
1366070559 — TIEN-PHAT VUONG HUYNH MD, PHD
Practice Location Address:
101 THE CITY DR S
ORANGE, CA
92868-3201
Practice Phone: 714-823-6407
Practice Fax:
1659157311 — MELODY SAYSANA
Practice Location Address:
101 THE CITY DR S
ORANGE, CA
92868-3201
Practice Phone: 714-456-7890
Practice Fax:
1588305528 — SAMANTHA SOLARU MD
Practice Location Address:
101 THE CITY DR S
ORANGE, CA
92868-3201
Practice Phone: 714-456-8224
Practice Fax: 714-456-8360

Directions to “ DR. SHAHAB KHAZANEHDARI M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.