Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A98255 | CA |
Y | 208600000X | Surgeon | A98255 | CA |
N | 2082S0105X | Plastic Hand Surgeon | A98255 | CA |
NPI | 1831393388 |
---|---|
Provider Name | Dr. Ashkan Ghavami |
First Address | Beverly Hills, CA 90210-4409 |
Second Address | Beverly Hills, CA 90210-4409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 30/08/2007 |