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Contact Information

KIANOUSH SHAKIB MD INC
11661 SAN VICENTE BLVD STE 101
LOS ANGELES, CA90049-5150
 Phone: 310-312-1231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KIANOUSH SHAKIB MD INC · (Female)

NPI Number 1205309341
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2019
Last updated 01/10/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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