Individual
SHANT SHIRVANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 ARDEN AVE STE 310, GLENDALE, CA 91203-4014
(818) 247-6676
(866) 887-3856
Mailing address
435 ARDEN AVE STE 310, GLENDALE, CA 91203-4014
(818) 247-6676
(866) 887-3856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127830
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A127830
CA
207RP1001X
Pulmonary Disease Physician
Primary
A127830
CA
Other
Enumeration date
11/01/2011
Last updated
11/23/2021
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