Shahin Etebar MD Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SHAHIN ETEBAR MD INC

Practice address

36101 Bob Hope Dr Ste B2
Rancho Mirage, CA 92270-2003

Phone

(760) 346-8058

Fax

(417) 890-9127

NPI assigned

Mar 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shahin Etebar, MDNPI 1194721308

Title

President

Phone

(760) 346-8058

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahin Etebar, MD

  • Neurological Surgery Physician
  • Columbus, GA
  • NPI 1194721308
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1699138677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701053",
            "telephone_number": "760-346-8058",
            "fax_number": "417-890-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE B2",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702003",
            "telephone_number": "760-346-8058",
            "fax_number": "417-890-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN ETEBAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ETEBAR",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-346-8058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaaf Eye Center PC
• Mehdi Shaaf, MD
• Karine Shaghoyan, OD
• Amar Siddharth Shah, MD
• Tejas Shah, MD
• Elika Shahkamrani, MD
• Armen Shahnazarian
• Kevin Charles Shandera, M.D.
• Shane Speirs MD PC
• Gregory D Shannon, PA

• Neurological Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.