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NPI Code Detail

MEDICARE: DR. PEJMAN DAVID SHAMEKH M.D.

MEDICARE: DR. PEJMAN DAVID SHAMEKH 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 PhysicianA85239CA

General Provider Information

NPI Number : 1982620134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEJMAN DAVID SHAMEKH M.D.
Provider Business Mailing Address
First Line : PO BOX 6033
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-1033
Country : US
Telephone Number : 310-788-0074
Fax Number : 310-277-3659
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E STE 1207
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2015
Country : US
Telephone Number : 310-788-0074
Fax Number : 310-277-3659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 02/02/2012

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