Shiva Akhavizadegan, is a
Rehabilitation Practitioner based in San Diego, California. Shiva Akhavizadegan is licensed to practice in * (Not Available) (license number ) and her current practice location is
1963 4th Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(196) 233-3422.
NPI number for Shiva Akhavizadegan is 1194322859 and her current mailing address is 10981 San Diego Mission Rd Ste 110, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194322859.
Healthcare Provider's Profile
Full Name | Shiva Akhavizadegan |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 1963 4th Ave, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194322859
- Provider Enumeration Date: 10/06/2020
- Last Update Date: 05/02/2025
Medical Identifiers
Medical identifiers for Shiva Akhavizadegan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194322859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shiva Akhavizadegan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shiva Akhavizadegan, 10981 San Diego Mission Rd Ste 110, San Diego, CA 92108-2448 Ph: (619) 889-2259 | Shiva Akhavizadegan, 1963 4th Ave, San Diego, CA 92101-2394 Ph: (196) 233-3422 |
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