Basic Information
| Provider Information | |||||||||
| NPI: | 1497817332 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AKHAVAN | ||||||||
| FirstName: | MEHRAS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4940 VAN NUYS BLVD STE 301 | ||||||||
| Address2: | |||||||||
| City: | SHERMAN OAKS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914031742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189909050 | ||||||||
| FaxNumber: | 8189909449 | ||||||||
| Practice Location | |||||||||
| Address1: | 4940 VAN NUYS BLVD STE 301 | ||||||||
| Address2: | |||||||||
| City: | SHERMAN OAKS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914031742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189909050 | ||||||||
| FaxNumber: | 8189909449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 07/25/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | A82275 | CA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine |
No ID Information.