Manavi, Shahryar Shawn

Manavi, Shahryar Shawn is an individual health care provider with primary practice located at 214 N Central Ave , Glendale CA 91203-3556. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Manavi, Shahryar Shawn can be contacted via phone (818) 241-0970.

Contact Information

Primary practice address
214 N Central Ave Glendale CA 91203-3556
Phone: (818) 241-0970
Fax: (818) 638-0024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A67461 California

Profile Details

NPI number 1922068360
LBN Legal business name Manavi, Shahryar Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 19th, 2008 - 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 1922068360 NPPES
California Other WA67461B PALMETTO GBA

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