Shabnam Khanideh (NPI# 1366576332, PAC ID# 6507082005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1366576332 |
| PAC ID by PECOS | 6507082005 |
| Professional Enrollment ID | I20141204000977 |
| Full Name | Shabnam Khanideh |
| Address |
2730 Wilshire Blvd Suite 100 Santa Monica CA 90403-4741 |
| Gender | F |
| Medical School | BOSTON UNIV GOLDMAN SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2730 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-4741 |
| Street Address |
2730 WILSHIRE BLVD SUITE 100 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90403-4741 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason C Chen | Physical Therapy | Rehab Specialists Inc | 2730 Wilshire Blvd, Suite 533, Santa Monica, CA 90403-4751 |
| Marc Surdyka | Physical Therapy | Matrix Physical Therapy and Wellness | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4724 |
| Andrew Travis Cole | Physical Therapy | Matrix Physical Therapy and Wellness | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4724 |
| Jessica S Von Den Stemmen | Physical Therapy | Matrix Physical Therapy and Wellness | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4724 |
| Theodore Prentice Jr. | Neurology | 2730 Wilshire Blvd, Suite 620, Santa Monica, CA 90403-4755 | |
| Haley Tarryn Hawes | Physical Therapy | Matrix Physical Therapy and Wellness | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4724 |
| Ethan L Waldman | Physical Therapy | Matrix Physical Therapy and Wellness | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4724 |
| Susan H Slate | Psychologist, Clinical | 2730 Wilshire Blvd, Suite 600, Santa Monica, CA 90403-4755 | |
| Sue O Klein | Physical Therapy | Rehab Specialists Inc | 2730 Wilshire Blvd, Suite 533, Santa Monica, CA 90403-4751 |
| Rebecca W Kern | Physical Therapy | Rehab Specialists Inc | 2730 Wilshire Blvd, Suite 533, Santa Monica, CA 90403-4751 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Curtis Dickey | Optometry | 901 Montana Ave, Santa Monica, CA 90403-1537 | |
| Phillip Herel | Physical Therapy | 1301 Montana Ave, Suite A, Santa Monica, CA 90403-1767 | |
| Patrick D Edgecomb | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Christopher Scott Dahl | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Nicola N Nakase | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Rashmi Bandekar | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Marc A Hara | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Minchul Jung | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Jennifer M Esquer | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Bijan Cohenmehr | Optometry | 3116 Wilshire Blvd, Santa Monica, CA 90403-2304 | |
| Find all physicians in zip 90403 | |||
| City | SANTA MONICA |
| Zip Code | 90403 |
| Specialty | ORAL SURGERY |
| City + Specialty | SANTA MONICA + ORAL SURGERY |
Please comment or provide details below to improve the information on Shabnam Khanideh.
| 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.