Provider Demographics
NPI:1275855728
Name:KOUSHA-SHOAR, ZOHREH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ZOHREH
Middle Name:
Last Name:KOUSHA-SHOAR
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ZOHREH
Other - Middle Name:F
Other - Last Name:SHOAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5333 HOLLISTER AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2466
Mailing Address - Country:US
Mailing Address - Phone:805-879-4240
Mailing Address - Fax:805-879-4268
Practice Address - Street 1:5333 HOLLISTER AVE STE 250
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2466
Practice Address - Country:US
Practice Address - Phone:805-879-4240
Practice Address - Fax:805-879-4268
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126688208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics