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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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