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:
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Health care specialties

SpecialtyCodeLicense #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

StateTypeNumberIssuer
All States NPI 1437192200 NPPES
California MEDICAID 000E41032

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