Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | A100615 | CA |
Y | 207RC0200X | Critical Care Medicine | A100615 | CA |
NPI | 1093049942 |
---|---|
Provider Name | Dr. Ramin Akhavan |
First Address | Riverside, CA 92505 |
Second Address | Riverside, CA 92505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2009 |
Last Update Date | 25/03/2016 |