Provider Demographics
NPI:1982620134
Name:SHAMEKH, PEJMAN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:PEJMAN
Middle Name:DAVID
Last Name:SHAMEKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6033
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1033
Mailing Address - Country:US
Mailing Address - Phone:310-788-0074
Mailing Address - Fax:310-277-3659
Practice Address - Street 1:2080 CENTURY PARK E STE 1207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2015
Practice Address - Country:US
Practice Address - Phone:310-788-0074
Practice Address - Fax:310-277-3659
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85239207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine