Provider Demographics
NPI:1336244458
Name:LUND, SHEWAK RAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEWAK
Middle Name:RAM
Last Name:LUND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16756 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2625
Mailing Address - Country:US
Mailing Address - Phone:626-294-2070
Mailing Address - Fax:626-294-2076
Practice Address - Street 1:624 W DUARTE RD
Practice Address - Street 2:SUITE#103
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7603
Practice Address - Country:US
Practice Address - Phone:626-294-2070
Practice Address - Fax:626-294-2076
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA38222207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE98958Medicare UPIN