Provider Demographics
NPI:1841763026
Name:SHAMEER DEBNATH MD INC
Entity Type:Organization
Organization Name:SHAMEER DEBNATH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBNATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-261-8448
Mailing Address - Street 1:2100 SAWTELLE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6264
Mailing Address - Country:US
Mailing Address - Phone:424-261-8448
Mailing Address - Fax:424-372-7284
Practice Address - Street 1:2100 SAWTELLE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6264
Practice Address - Country:US
Practice Address - Phone:424-261-8448
Practice Address - Fax:424-372-7284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty