Provider Demographics
NPI:1831288265
Name:DANISHWAR, SHIREEN (DC)
Entity type:Individual
Prefix:DR
First Name:SHIREEN
Middle Name:
Last Name:DANISHWAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4338 CALYPSO TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-1601
Mailing Address - Country:US
Mailing Address - Phone:510-795-1431
Mailing Address - Fax:510-796-7797
Practice Address - Street 1:5925 W LAS POSITAS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8537
Practice Address - Country:US
Practice Address - Phone:925-462-1755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29319111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0293190Medicare ID - Type UnspecifiedCHIROPRACTIC
CAV00634Medicare UPIN