Most Relevant Information
Provider Data
| NPI Number: | 1003076621 |
| Provider Name: | SHAHRAM SHAWN FARAHVASH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 56705 |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 12/01/2021 |
Provider Practice Location
15107 VANOWEN ST
VAN NUYS
CA
914054542
Practice Location Phone/Fax
| Phone: | 8187826600 |
| Fax: |
Provider Mailing Location
15107 VANOWEN ST
PEDIATRIC ANESTHESIOLOGY
VAN NUYS
CA
914054542
Provider Mailing Phone/Fax
| Phone: | 8187826600 |
| Fax: |