Shahla Chehrazi, M.D.
Individual provider Active NPI Specialist · Kentfield, CA
NPI 1487761995 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487761995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- A30503 (CA)
- Practice address
- 35 Wolfe Grade
Kentfield, CA 94904-1011 - Phone
- (415) 925-1445
- Fax
- (415) 461-6112
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30503 | CA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A30503 | CA | Yes |
Addresses
Primary practice location
35 Wolfe Grade
Kentfield, CA 94904-1011
Mailing address
35 Wolfe Grade
Kentfield, CA 94904-1011
Phone (415) 925-1445
Other providers in Kentfield, CA
- Alan S Cascio
- Christopher Joseph Catalano
- Sarah Marie Centeno
- Sarah Ellen Chapman
- Charles R Billings, PH.D., a Psychological Corp. Inc.
- Jeffrey Scott Chen
- Christopher J Catalano DDS Inc
- Christopher Migdal, MD, a Medical Corporation
- Chrysalis Medical Technology, Inc
- Collette Psychological Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.