Provider Demographics
NPI:1962614974
Name:SHABANI, ARMATIS A (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ARMATIS
Middle Name:A
Last Name:SHABANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:425 GREGORY LANE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-726-0146
Mailing Address - Fax:925-726-0151
Practice Address - Street 1:425 GREGORY LANE
Practice Address - Street 2:SUITE 201
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-726-0146
Practice Address - Fax:925-726-0151
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA15938363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant