Nikravesh, Payam Benjamin

Nikravesh, Payam Benjamin is an individual health care provider with primary practice located at 6404 Wilshire Blvd Suite 600, Los Angeles CA 90048-5501. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Nikravesh, Payam Benjamin can be contacted via phone (323) 782-8586.

Contact Information

Primary practice address

6404 Wilshire Blvd Suite 600 Los Angeles CA 90048-5501

Phone: (323) 782-8586

Fax: (323) 782-8528

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery	213ES0103X	E4103	California

Profile Details

NPI number	1437192200
LBN Legal business name	Nikravesh, Payam Benjamin
Credentials	Doctor of Podiatric Medicine (DPM)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 13th, 2006
Last updated	Jul 8th, 2007 - about 19 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

State	Type	Number	Issuer
All States	NPI	1437192200	NPPES
California	MEDICAID	000E41032

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