Shahryar Shawn Manavi in Glendale - Specialist

Shahryar Shawn Manavi - NPI 1922068360

Shahryar Shawn Manavi is a Specialist in Glendale, California. Shahryar Shawn Manavi practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shahryar Shawn Manavi is 1922068360. The last update date is 2008-09-19.

Shahryar Shawn Manavi's current location address is 214 N Central Ave, Glendale, California. You can contact this provider via phone number 8182410970 and fax number 8186380024. The mailing address for Shahryar Shawn Manavi is 214 N Central Ave, Glendale, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Shahryar Shawn Manavi
Address 214 N Central Ave, Glendale, California
Phone Number 8182410970
Fax Number 8186380024
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1922068360
Provider Enumeration Date 2006-03-27
Last Updated Date 2008-09-19

Provider Mailing Address Detail

Address 214 N Central Ave
City Glendale
State California (CA)
Post Code 912033556
Phone Number 8182410970
Fax Number 8186380024

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A67461
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WA67461B CA PALMETTO GBA

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FAQs about Shahryar Shawn Manavi

What is the unique identification code assigned to Shahryar Shawn Manavi by the Centers for Medicare & Medicaid Services?

The Shahryar Shawn Manavi has been issued the NPI (National Provider Identifier) 1922068360. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Shahryar Shawn Manavi?

The Shahryar Shawn Manavi is physically situated at 214 N Central Ave, in the city of Glendale, state of CA, with the postal code 912033556.

What is the Shahryar Shawn Manavi's area of specialization and corresponding taxonomy classification?

The Shahryar Shawn Manavi's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922068360 to Shahryar Shawn Manavi?

The Centers for Medicare & Medicaid Services originally issued the 1922068360 to Shahryar Shawn Manavi on 2006-03-27.

When was the Shahryar Shawn Manavi's information last updated?

The Shahryar Shawn Manavi's information was last updated on 2008-09-19.

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