Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A34881 | CA |
N | 111NI0900X | Internist | A34881 | CA |
Y | 207RX0202X | Medical Oncology | A34881 | CA |
NPI | 1174522585 |
---|---|
Provider Name | Dr. Shamel Sanani |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Mission Hills, CA 91345-1207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 09/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134420201 | (05) | CA |
A88310 | (02) | CA |