Organization
T NIKRAVESH MD CORPORATION
Active
Organization
T NIKRAVESH MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNAZ NIKRAVESH MD (PRESIDENT)
(310) 659-2226
Entity
Organization
Contact information
Practice address
6404 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90048-5508
(310) 659-2226
(323) 782-8528
Mailing address
6404 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90048-5508
(310) 659-2226
(323) 782-8528
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
04/30/2008
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