Kevorkian, Siranoush H

Kevorkian, Siranoush H is an individual health care provider with primary practice located at 8781 Van Nuys Blvd , Panorama City CA 91402-2406. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Kevorkian, Siranoush H can be contacted via phone (818) 920-0808.

Contact Information

Primary practice address
8781 Van Nuys Blvd Panorama City CA 91402-2406
Phone: (818) 920-0808
Fax: (818) 920-6603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A35663 California

Profile Details

NPI number 1457416265
LBN Legal business name Kevorkian, Siranoush H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457416265 NPPES
California MEDICAID 00A356630

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