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NPI Code Detail

MEDICARE: SEAN NEWSHA ERSHADI

MEDICARE:   SEAN NEWSHA ERSHADI
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
12085R0204XVascular & Interventional Radiology Physician1972007235CA

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 : 1972007235
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN NEWSHA ERSHADI
Provider Business Mailing Address
First Line : 223 N 1ST AVE STE 101
Second Line :
City : ARCADIA
State : CA
Zip : 91006-7027
Country : US
Telephone Number : 626-821-1411
Fax Number :
Provider Business Practice Location Address
First Line : 100 W CALIFORNIA BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-3010
Country : US
Telephone Number : 626-397-5139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 12/05/2025

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Directions to “ SEAN NEWSHA ERSHADI ” Practice Location

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