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Provider Information for 1154494755

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

DR. RAMI MOUSTAFA SHAARAWY M.D.

Gender: MALE

Individual NPI: 1154494755

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1154494755
Enumeration Date 2006-11-15
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 21822 SHERMAN WAY STE 100
CANOGA PARK, CA 91303-1928
United States

Phone: 818-716-0557 | Fax: 818-716-8729
View Map External Link
Primary Practice Address 21822 SHERMAN WAY STE 100
CANOGA PARK, CA 91303-1928
United States

Phone: 818-716-0557 | Fax: 818-716-8729
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 207R00000X - Internal Medicine CA A96619