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Provider Information - CalViva Health
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Provider Information

Last Updated : Sep 5 2025 2:28 PM

Shahab Khazanehdari

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City
Clovis
Group
COMMUNITY HEALTH PARTNERS - FFS
Specialty
Neurology
Last Name
Khazanehdari
First Name
Shahab
Address
785 N. Medical Center Dr. West Ste 106
State
CA
Zip Code
93611
Phone
(559)459-6000
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Physician ID
287431
Extender 1 Last Name
Nguyen
Extender 1 First Name
Darlene
Extender 1 License Type
P.A.
Extender 2 Last Name
Ngo
Extender 2 First Name
Judy
Extender 2 License Type
P.A.
Extender 3 Last Name
Uselton
Extender 3 First Name
Courtney
Extender 3 Middle Name
J
Extender 3 License Type
P.A.
Section Number
4
County
FRESNO
Accepting New Patient
Yes
PPG NAME
COMMUNITY HEALTH PARTNERS - FFS
PPG ID
MFRT6
NPI Number
1790172179
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
EXAMTBL_IND
T
License ID
A170719
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only
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