Provider Demographics
NPI:1184675761
Name:RAMJI, SHAHIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHIRA
Middle Name:
Last Name:RAMJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WILSHIRE BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1854
Mailing Address - Country:US
Mailing Address - Phone:310-829-8903
Mailing Address - Fax:424-212-5933
Practice Address - Street 1:901 WILSHIRE BLVD FL 3
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1854
Practice Address - Country:US
Practice Address - Phone:310-829-8903
Practice Address - Fax:424-212-5933
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA69740OtherMEDICAL BOARD OF CALIFORNIA
CAA69740OtherMEDICAL BOARD OF CALIFORNIA
CAW969740AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER