Shadi Yadegaran
Medical Specialty
Professional ID
- NPI: 1568886075
- PECOS ID: 5395966428
- Enrollment ID: I20141014002335
- Credential(MD, DO, DPM):
- Medical School: California College Podiatric Medicine
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 050235
- Business Name (LBN)1: Providence Saint Joseph Medical Ctr
Medical Practices
- Organization Name: Professional Foot And Ankle Center Inc
- Group Practice ID assigned by PECOS: 3173743606
- Number of Group Practice member: 2
Location
- Address1: 2601 W Alameda Ave
- Address2: Suite 208
- City: Burbank
- State: California
- Zip Code: 91505
- Phone Number: (818)558-7075
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):