SHAHRAM SHAWN GHOLAMI (NPI# 1932272804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932272804 |
| Entity Type | Individual |
| Full Name | SHAHRAM SHAWN GHOLAMI |
| Credential | MD |
| Practice Address |
2460 Samaritan Dr San Jose CA 95124-3907 |
| Practice Telephone | 4083582030 |
| Mailing Telephone | 4083582030 |
| Mailing Fax Number | 4083582039 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A65099 | CA | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
A65099 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2581 Samaritan Dr, #200, San Jose, CA 95124 | 4083582030 | 4083582036 |
| Street Address |
2460 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417788 | Samaritan Family Practice | Family Medicine | 2460 Samaritan Dr, San Jose, CA 95124-3907 | 2005-09-20 |
| 1366779977 | Jennifer Diane Haggerty | Family Medicine | 2460 Samaritan Dr, San Jose, CA 95124-3907 | 2009-11-03 |
| 1326002064 | James W Ratcliff | Podiatrist | 2460 Samaritan Dr, San Jose, CA 95124-3907 | 2006-04-12 |
| 1003802612 | Manjula Kamaraju | Family Medicine | 2460 Samaritan Dr, San Jose, CA 95124-3907 | 2005-09-20 |
| 1982690509 | Joceliza G Chaudhary | Family Medicine | 2460 Samaritan Dr, San Jose, CA 95124-3907 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457611048 | Naveen Yadav | Urology | 250 Hospital Pkwy Bldg B, San Jose, CA 95119-1103 | 2012-05-17 |
| 1912070889 | David Mark Nudell | Urology | 2581 Samaritan Drive, San Jose, CA 95124 | 2006-11-16 |
| 1972558666 | Edward Wang | Urology | 175 N Jackson Ave Ste 206, San Jose, CA 95116-1909 | 2006-05-23 |
| 1851341655 | Han P Lo | Urology | 75 N Bascom Ave Ste 210, San Jose, CA 95128-1802 | 2006-05-11 |
| 1447244785 | Terrence R Sullivan | Urology | 2110 Forest Ave, #c, San Jose, CA 95128-1469 | 2005-09-01 |
| 1063857597 | Peter Albert Elliott | Urology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2013-05-10 |
| 1225331770 | Urological Surgeons of Northern California | Urology | 2110 Forest Ave, Suite C, San Jose, CA 95128-1469 | 2010-12-06 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1770886210 | Urological Surgeons of Northern California | Urology | 2505 Samaritan Dr, Suite 201, San Jose, CA 95124-4006 | 2010-12-06 |
| 1003118290 | Urological Surgeons of Northern California | Urology | 123 Di Salvo Ave, Suite D, San Jose, CA 95128-1717 | 2010-11-22 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.