Shabnam Khanideh
Medical Specialty
Professional ID
- NPI: 1366576332
- PECOS ID: 6507082005
- Enrollment ID: I20141204000977
- Credential(MD, DO, DPM):
- Medical School: Boston Univ Goldman School Of Dental Medicine
- Medical School Graduation Year: 2006
Medical Practices
- Organization Name: Pouyan Dds And Khanideh Dds Inc
- Group Practice ID assigned by PECOS: 4880975663
- Number of Group Practice member: 0
Location
- Address1: 2730 Wilshire Blvd
- Address2: Suite 100
- City: Santa Monica
- State: California
- Zip Code: 90403
- Phone Number: (818)385-3500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):