Shahin Chandrasoma (NPI# 1104148014, PAC ID# 1557550365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104148014 |
| PAC ID by PECOS | 1557550365 |
| Professional Enrollment ID | I20110110000762 |
| Full Name | Shahin Chandrasoma |
| Organization Legal Name | UROLOGY ASSOCIATES MEDICAL GROUP |
| Address |
2601 W Alameda Ave Suite 416 Burbank CA 91505-4814 |
| Phone Number | 8188431700 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3072880707 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050006 | ST JOSEPH HOSPITAL |
| 050438 | HUNTINGTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2601 W Alameda Ave, Suite 416, Burbank, CA 91505-4814 | 8188431700 | UROLOGY ASSOCIATES MEDICAL GROUP |
| 112 N Madison Ave, Pasadena, CA 91101-1710 | 6267968102 | PASADENA UROLOGICAL MEDICAL GROUP |
| Organization Legal Name | UROLOGY ASSOCIATES MEDICAL GROUP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip I Weintraub | Urology | Urology Associates Medical Group | 2601 W Alameda Ave, Suite 416, Burbank, CA 91505-4814 |
| Sanford L Polse | Urology | Urology Associates Medical Group | 2601 W Alameda Ave, Suite 416, Burbank, CA 91505-4814 |
| Street Address |
2601 W ALAMEDA AVE SUITE 416 |
| City | BURBANK |
| State | CA |
| Zip | 91505-4814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Alexander Mckellop | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 2601 W Alameda Ave, Suite 101, Burbank, CA 91505-4810 |
| Raymond A Shofler | General Surgery | 2601 W Alameda Ave, Suite 314, Burbank, CA 91505-4812 | |
| Farid Eghbali | Optometry | Eghbali Medical Surgical Inc | 2601 W Alameda Ave, Suite 204, Burbank, CA 91505-4810 |
| Suhas W Tuli | Ophthalmology | 2601 W Alameda Ave, Suite 206, Burbank, CA 91505-4810 | |
| Shadi Yadegaran | Podiatry | Professional Foot and Ankle Center Inc | 2601 W Alameda Ave, Suite 208, Bubank, CA 91505-4810 |
| Armin Feradouni Nejad | Podiatry | Professional Foot and Ankle Center Inc | 2601 W Alameda Ave, Suite 208, Bubank, CA 91505-4810 |
| Theodore S Feit | Diagnostic Radiology | 2601 W Alameda Ave, Suite 310, Burbank, CA 91505-4182 | |
| Leon Noubar Partamian | Family Medicine | 2601 W Alameda Ave, Suite 304, Burbank, CA 91505-4812 | |
| Mohammad Daood | Cardiovascular Disease (cardiology) | 2601 W Alameda Ave, Suite 202, Burbank, CA 91505-4810 | |
| Philip I Weintraub | Urology | Urology Associates Medical Group | 2601 W Alameda Ave, Suite 416, Burbank, CA 91505-4814 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Kwan Dea | Pulmonary Disease | 2701 W Alamed, Suite 601, Burbank, CA 91505 | |
| Tu H Duong | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Alina C Beaton | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Roberto A Beaton | Internal Medicine | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Yeong An Sheu | Gastroenterology | 4314 W Victory Blvd, Burbank, CA 91505-1334 | |
| Irvin S Benowitz | General Practice | Roberto A. Beaton, M.d., Inc. | 4314 W Victory Blvd, Burbank, CA 91505-1334 |
| Alen Khachatourian | Chiropractic | 3404 W Victory Blvd, Burbank, CA 91505-1544 | |
| Amanda Corona | Physical Therapy | Vargo Physical Therapy, Inc. | 3425 W Victory Blvd, Burbank, CA 91505-1545 |
| Erin Nicole Dougherty | Physical Therapy | Vargo Physical Therapy, Inc. | 3425 W Victory Blvd, Burbank, CA 91505-1545 |
| Katherine Joan Chin | Physician Assistant | Burbank Occupational Health Center Inc | 3413 W Pacific Ave, Suite 102, Burbank, CA 91505-1555 |
| Find all physicians in zip 91505 | |||
| City | BURBANK |
| Zip Code | 91505 |
| Specialty | UROLOGY |
| City + Specialty | BURBANK + UROLOGY |
Please comment or provide details below to improve the information on Shahin Chandrasoma.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.