Pushpa H. Shahani, M.D., Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A32555 Issued in CA

Legal business name

PUSHPA H. SHAHANI, M.D., INC.

Practice address

1812 Verdugo Blvd
Glendale, CA 91208-1407

Phone

(818) 790-7100

Fax

(818) 952-4618

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pushpa Hiro Shahani, M.D.

Title

President

Phone

(858) 509-0939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1851484810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "address_2": "#535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013005",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 VERDUGO BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081407",
            "telephone_number": "818-790-7100",
            "fax_number": "818-952-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSHPA H. SHAHANI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SHAHANI",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_middle_name": "HIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-509-0939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A32555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.