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Organization
SHAHRAM F. RAVAN, M.D. INC.
Active
Organization
SHAHRAM F. RAVAN, M.D. INC.
Active
Parent organization
SHAHRAM F. RAVAN, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAHRAM F. RAVAN, M.D.
Authorized official
DR. SHAHRAM FRANCOIS RAVAN MD (MD/PRESIDENT)
(310) 858-9200
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 214, BEVERLY HILLS, CA 90210-4310
(310) 858-9200
(310) 271-3793
Mailing address
436 N BEDFORD DR, SUITE 214, BEVERLY HILLS, CA 90210-4310
(310) 858-9200
(310) 271-3793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A40168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401680
—
CA
Enumeration date
09/07/2007
Last updated
09/07/2007
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