Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 116063 | CA |
N | 207L00000X | Anesthesiologist | 30135 | OK |
N | 207L00000X | Anesthesiologist | MD60681697 | WA |
NPI | 1003047531 |
---|---|
Provider Name | Shawn R. Vedamani |
First Address | Santa Ana, CA 92705-3807 |
Second Address | La Jolla, CA 92037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2009 |
Last Update Date | 09/06/2021 |