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Contact Information

SHYAM RANDERIA, MD
13652 CANTARA ST / BALBOA PLAZA
PANORAMA CITY, CA91402
 Phone: 818-832-7292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHYAM RANDERIA · (Male)

NPI Number 1043424419
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2007
Last updated 12/08/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 27588
  • CA License # A101775
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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