Provider Demographics
NPI:1396837282
Name:SHAMIE, NEDA (MD)
Entity Type:Individual
Prefix:
First Name:NEDA
Middle Name:
Last Name:SHAMIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2080 CENTURY PARK E
Mailing Address - Street 2:SUITE 911
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2001
Mailing Address - Country:US
Mailing Address - Phone:310-229-1220
Mailing Address - Fax:310-229-1222
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:SUITE 911
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2001
Practice Address - Country:US
Practice Address - Phone:310-229-1220
Practice Address - Fax:310-229-1222
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2016-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA71554207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB242185Medicare PIN