NPI 1003076621
Shahram Shawn Farahvash, MD
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
Pediatric Anesthesiology Physician
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.