Individual
DR. SHAHROUZ TAHVILIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3288
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A133716
CA
2085R0204X
Vascular & Interventional Radiology Physician
75468
AZ
2085R0204X
Vascular & Interventional Radiology Physician
A133716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04324636
—
NY
Enumeration date
12/08/2010
Last updated
09/23/2025
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