Shahin Tissa Chandrasoma MD

NPI 1104148014 - Urology - 208800000X

NPI Details
NPI 1104148014
Gender Male
Enumeration Date 02/18/2010
Last Updated 02/18/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
1200 N STATE ST
ROOM 5900
LOS ANGELES CA, 90033-1029, US
Phone (323) 226-7335
Fax
Business Location
1200 N STATE ST
ROOM 5900
LOS ANGELES CA, 90033-1029, US
Phone (323) 226-7335
Fax
Toxanomy
Taxonomy Code 208800000X
License State California
License Number A95830
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According to our database, Dr. Shahin Tissa Chandrasoma MD NPI is 1104148014, taxonomy code is 208800000X and license number is A95830, license state is located at California. Shahin Tissa Chandrasoma MD physically located at 1200 N State St, Los Angeles CA, 90033-1029. NPI Number Shahin Tissa Chandrasoma MD has the Individual type.

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1104148014 NPI number is provided on an as is basis without warranty of any kind. 1104148014 is maintained by the National Plan & Provider Enumeration System. The contents of Shahin Tissa Chandrasoma MD are for informational purposes only.