Individual
SHAHROKH JAVAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10496 MONTGOMERY RD, CINCINNATI, OH 45242-5223
(513) 793-2654
(513) 793-2962
Mailing address
4685 FOREST AVE, SUITE C, CINCINNATI, OH 45212-3359
(513) 853-4721
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
35.048885
OH
207RP1001X
Pulmonary Disease Physician
35048885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011907
BCBS - OH
—
05
—
0521742
—
OH
01
—
311138782026
CARESOURCE
—
01
—
4477146
AETNA
—
Enumeration date
02/08/2006
Last updated
01/29/2024
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