DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHAHAB KHAZANEHDARI, M.D.

Active Sole Proprietor

DR. SHAHAB KHAZANEHDARI, M.D. is a 2084A2900X healthcare provider located in ORANGE, California. NPI 1790172179 is currently active in the NPPES registry. Verify at CMS.

2084A2900X · ORANGE, CA

Registration Details

NPI Number
1790172179
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2015 (11.319221394535 yrs)
Last Updated
Sep 24, 2024
Licenses
334807 (LA)
A170719 (CA)
ME150139 (FL)
334807 (LA)
Sole Proprietor
Yes

Practice Information

Address
101 THE CITY DR S
ORANGE, CA, 928683201
Browse CA providers · Browse ZIP 92868
Phone
7144568888
Primary Specialty
2084A2900X
2084A2900X
Additional Specialty
2084A2900X
Additional Specialty
2084A2900X
Additional Specialty
2084A2900X

Other 2084A2900X Providers in ORANGE, CA

Name Credential NPI
WENGUI YU MD 1225104193
DR. CYRUS KHURSHED DASTUR M.D. 1336325828
AHMAD RIAD JAMAL RAMADAN M.D. 1164738910
DR. IMAD RASHID KHAN M.D. 1801188669
ANGUD MEHDI 1457885279
ANIRUDHA SWAMINATHAN RATHNAM MD 1700306537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.