Basic Information
| Provider Information | |||||||||
| NPI: | 1326209511 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAGHAVI | ||||||||
| FirstName: | SHARVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., M.P.H., M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1430 TULANE AVE # 8622 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885128 | ||||||||
| FaxNumber: | 5049881838 | ||||||||
| Practice Location | |||||||||
| Address1: | 1415 TULANE AVE FL 6 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885110 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2008 | ||||||||
| LastUpdateDate: | 09/12/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | HS000239L | PA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 309285 | LA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0127X | 309285 | LA | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
No ID Information.