| Ata M. Kashani Md A Professional Corporation | |
|
18355 Sherman Way Reseda CA 91335-4436 | |
| (818) 343-0964 | |
| (818) 343-0768 |
| Full Name | Ata M. Kashani Md A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 18355 Sherman Way, Reseda, California |
| Authorized Official Name and Position | Ata M Kashani (PRESIDENT) |
| Authorized Official Contact | 8183430964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ata M. Kashani Md A Professional Corporation 18355 Sherman Way Reseda CA 91335-4436 Ph: (818) 343-0964 | Ata M. Kashani Md A Professional Corporation 18355 Sherman Way Reseda CA 91335-4436 Ph: (818) 343-0964 |
| NPI Number | 1942580543 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 09/02/2011 |
| Medicare PECOS PAC ID | 8527238211 |
|---|---|
| Medicare Enrollment ID | O20110908001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942580543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A41464 (California) | Primary |
| Provider Name | Ata Kashani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740349851 PECOS PAC ID: 1254501943 Enrollment ID: I20110908001611 |
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