Individual ProviderShiva HadadianpourStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1303 E Herndon Ave, Fresno, CA 93720-3309(559) 450-3000(818) 940-9302PECOS EnrollmentBased on the most recent information from CMS, provider Shiva Hadadianpour does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184328528Provider TypeIndividualFull NameHadadianpour, ShivaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/29/2023Last Updated3/29/2023Contact InformationPractice LocationPractice Address1303 E Herndon Ave, Fresno, CA 93720-3309Phone(559) 450-3000FaxUnlisted FaxMailing LocationMailing Address7500 Mason Ave, Winnetka, CA 91306-2888Phone(818) 940-9302FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer