Organization
SHAHRAM F. RAVAN,M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM FRANCIOS RAVAN M.D. (PRESIDENT)
(310) 858-9200
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 214, BEVERLY HILLS, CA 90210-4310
(310) 858-9200
(310) 271-3793
Mailing address
436 N BEDFORD DR, SUITE 214, BEVERLY HILLS, CA 90210-4310
(310) 858-9200
(310) 271-3793
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A40168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401680
—
CA
Enumeration date
04/04/2012
Last updated
11/26/2012
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