Whalio Doctors

NPI 1003076621

Shahram Shawn Farahvash, MD

Practitioner Anesthesiology Physician Van Nuys, CA

Practice location

Address
15107 Vanowen St, Van Nuys, CA 91405-4542
Phone
(818) 782-6600
Mailing address
15107 Vanowen St Pediatric Anesthesiology, Van Nuys, CA 91405-4542

Registered specialties (2)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 56705 (WI)
Pediatric Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP3000X Licence A115190 (CA)

Registry record

NPI
1003076621
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2008
Record last updated
1 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.