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SHAHRAM ABBASSI MD

Pain Medicine >> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1396774139

Individual Registrant:
 SHAHRAM  ABBASSI MD
Gender: M
Sole Proprietor

Location and contact information for practice:
3800 JANES RD  ARCATA, CA 95521-4742 US
Tel: 707-822-3621  Fax: 707-633-6086

Contact information for business:
PO BOX 725  BAYSIDE, CA 95524-0725 US
Tel: 707-822-7220  Fax: 707-633-6086

Registration Information:
NPI: 1396774139
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207LP2900XAllopathic & Osteopathic Physicians
Anesthesiology
Pain Medicine
CAA51286
N207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
CAA51286

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00001256807008PA05
HIGHMARK BCBS685174PA01




HEALTH CARE JOBS CA - Page 1



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