Javaheri, Shahram
Javaheri, Shahram is an individual health care provider with primary practice located at 26691 Plaza Ste 150 , Mission Viejo CA 92691-6329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Javaheri, Shahram can be contacted via phone (949) 389-0660.Contact Information
Primary practice address
26691 Plaza Ste 150
Mission Viejo CA 92691-6329
Phone: (949) 389-0660
Fax: (949) 389-0668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MED-PHYS-LIC-114422 | Montana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A064239 | California |
Profile Details
| NPI number | 1497861439 |
|---|---|
| LBN Legal business name | Javaheri, Shahram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Aug 4th, 2022 - about 3 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 | 1497861439 | NPPES |
| California | MEDICAID | 00A642390 |
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