Individual provider · NPI-1

Dr. Shahram Bonyadlou, M.D.

Nuclear Medicine · Los Angeles, CA

NPI number1982651915
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1982651915
Entity type
Individual (NPI-1)
Name
Dr. Shahram Bonyadlou
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 27, 2006
Certification date
Oct 21, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineA80028CAYes
2085N0904X A80028CA

Practice location

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313

Phone 323-442-8541

Mailing address

Po Box 31309
Los Angeles, CA 90031-0309

Phone 323-442-8541 · Fax 323-442-8755

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nuclear Medicine providers in Los Angeles, CA