Individual
MISS RAZ KHAVARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15243 VANOWEN ST STE 306, VAN NUYS, CA 91405-3649
(818) 781-0232
(818) 781-4132
Mailing address
15243 VANOWEN ST, STE 306, VAN NUYS, CA 91405-3605
(818) 781-0232
(818) 781-4132
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A94272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W16712
MEDICARE PTAN
CA
Enumeration date
04/09/2007
Last updated
01/22/2015
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