Tavanaei, Maryam
Tavanaei, Maryam is an sole proprietor health care provider with primary practice located at 12660 Riverside Dr Ste 215 , North Hollywood CA 91607-3430. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Tavanaei, Maryam can be contacted via phone (424) 314-7660.Contact Information
Primary practice address
12660 Riverside Dr Ste 215
North Hollywood CA 91607-3430
Phone: (424) 314-7660
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A173242 | California |
Profile Details
NPI number | 1154811271 |
---|---|
LBN Legal business name | Tavanaei, Maryam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 14th, 2018 |
Last updated | Oct 10th, 2023 - 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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