Dr Shahram Ardalan, PHD in Sacramento, CA - Psychologist

Dr Shahram Ardalan, PHD is a Psychologist - Clinical based in Sacramento, California. Dr Shahram Ardalan is licensed to practice in California (license number PSY15907) and his current practice location is 1620 Executive Ct, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at (916) 922-8050.

NPI number for Dr Shahram Ardalan is 1184691073 and his current mailing address is 1620 Executive Ct, Sacramento, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184691073.

Contact Information

	Dr Shahram Ardalan, PHD
	1620 Executive Ct, Sacramento, CA 95864-2608
	(916) 922-8050
	(916) 977-0550

Healthcare Provider's Profile

Full Name	Dr Shahram Ardalan
Gender	Male
Speciality	Psychologist - Clinical
Location	1620 Executive Ct, Sacramento, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1184691073
Provider Enumeration Date: 03/01/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Shahram Ardalan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184691073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY15907 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shahram Ardalan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shahram Ardalan, PHD 1620 Executive Ct, Sacramento, CA 95864-2608 Ph: (916) 922-8050	Dr Shahram Ardalan, PHD 1620 Executive Ct, Sacramento, CA 95864-2608 Ph: (916) 922-8050

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Dr Shahram Ardalan, PHD - Psychologist in Sacramento, CA