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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1922068360 | NPPES |
| California | Other | WA67461B | PALMETTO GBA |
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