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Organization
SHAHRAM S FARAHVASH MD INC
Active
Organization
SHAHRAM S FARAHVASH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM SHAWN FARAHVASH MD (CEO)
(917) 349-4943
Entity
Organization
Contact information
Practice address
15732 SUTTON ST, ENCINO, CA 91436-3407
(917) 349-4943
Mailing address
15732 SUTTON ST, ENCINO, CA 91436-3407
(173) 494-9439
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
12/01/2021
Last updated
10/09/2024
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