Gharavi, Mohammad Ali
Gharavi, Mohammad Ali is an individual health care provider with primary practice located at 16255 Ventura Blvd Suite 910, Encino CA 91436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gharavi, Mohammad Ali can be contacted via phone (818) 990-4600.Contact Information
Primary practice address
16255 Ventura Blvd Suite 910
Encino CA 91436
Phone: (818) 990-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A30200 | California |
Profile Details
| NPI number | 1285602698 |
|---|---|
| LBN Legal business name | Gharavi, Mohammad Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Apr 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285602698 | NPPES |
| California | MEDICAID | 00A302000 |
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