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Individual

RAMYAR MAHDAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1511 W GLENOAKS BLVD, GLENDALE, CA 91201-1912
(818) 637-2200
(818) 637-2250
Mailing address
3426 RED ROSE DR, ENCINO, CA 91436-4214
(818) 300-6191

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
62403-20
WI

Other

Enumeration date
03/16/2009
Last updated
03/12/2025
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