MEDICARE: SHADI KALANTARIAN M.D., M.P.H.

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
1	207RC0000X	Cardiovascular Disease Physician	A145597	CA
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	A145597	CA

General Provider Information

NPI Number	:	1871906875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHADI KALANTARIAN M.D., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 276950
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-6950
Country	:	US
Telephone Number	:	650-617-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 UNIVERSITY AVE STE 160
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-2285
Country	:	US
Telephone Number	:	650-617-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2014
Last Update Date	:	10/29/2024

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