Ahmadi, Shiva Bakhtiari

Ahmadi, Shiva Bakhtiari is an sole proprietor health care provider with primary practice located at 1250 S Beverly Glen Blvd Apt 202 , Los Angeles CA 90024-5221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Licensed Practical Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ahmadi, Shiva Bakhtiari can be contacted via phone (615) 941-8501.

Contact Information

Primary practice address
1250 S Beverly Glen Blvd Apt 202 Los Angeles CA 90024-5221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22322 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006733 California
Nursing Service Providers / Licensed Practical Nurse 164W00000X APN0000022322 Tennessee

Profile Details

NPI number 1356873715
LBN Legal business name Ahmadi, Shiva Bakhtiari
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2017
Last updated Mar 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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