Shamsutdinov, Marat Nadirovich

Shamsutdinov, Marat Nadirovich is an individual health care provider with primary practice located at 18040 Sherman Way , Reseda CA 91335-4631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shamsutdinov, Marat Nadirovich can be contacted via phone (818) 758-1236.

Contact Information

Primary practice address
18040 Sherman Way Reseda CA 91335-4631
Phone: (818) 758-1236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 278379-1 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD453570 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A136394 California

Profile Details

NPI number 1578976981
LBN Legal business name Shamsutdinov, Marat Nadirovich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2014
Last updated Nov 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers