| Shavash Safvati M D Inc | |
|
12626 Riverside Dr Suite #303 North Hollywood CA 91607-3420 | |
| (818) 760-2434 | |
| (818) 760-8832 |
| Full Name | Shavash Safvati M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12626 Riverside Dr, North Hollywood, California |
| Authorized Official Name and Position | Shavash Safvati (PRESIDENT) |
| Authorized Official Contact | 8187602434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shavash Safvati M D Inc 12626 Riverside Dr Suite #303 North Hollywood CA 91607-3420 Ph: (818) 760-2434 | Shavash Safvati M D Inc 12626 Riverside Dr Suite #303 North Hollywood CA 91607-3420 Ph: (818) 760-2434 |
| NPI Number | 1144536228 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 06/26/2023 |
| Medicare PECOS PAC ID | 6204950702 |
|---|---|
| Medicare Enrollment ID | O20100907000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144536228 | NPI | - | NPPES |
| 00A498420 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shavash Safvati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083704076 PECOS PAC ID: 3870554736 Enrollment ID: I20100907000496 |
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