Individual provider · Type 1 NPI
Shahram Mashadian, DDS, MD
Plastic and Reconstructive Surgery Physician · Victorville, CA
NPI number
1811107709
Active
Practice location
12640 Hesperia Rd Ste A
Victorville, CA 92395-7753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | OMS69 (CA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A96072 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
About NPI 1811107709
Shahram Mashadian, DDS, MD's National Provider Identifier is 1811107709, issued on May 22, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Victorville, CA. The record was last updated on Sep 11, 2025.