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Provider Information for 1073661807

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JAMSHEED AKHAVAN MD

Gender: MALE

Individual NPI: 1073661807

Calendar   Last Updated:  2014-10-21
  Certification Date: 

Details

Name Value
NPI 1073661807
Enumeration Date 2007-01-08
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 22030 SHERMAN WAY SUITE # 101
CANOGA PARK, CA 91303-1844
United States

Phone: 818-312-9101 | Fax: 818-312-9100
View Map External Link
Primary Practice Address 22030 SHERMAN WAY SUITE # 101
CANOGA PARK, CA 91303-1844
United States

Phone: 818-312-9101 | Fax: 818-312-9100
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics CA A47734