Mr Kamran H Broukhim, MD is a
Anesthesiology physician based in North Hollywood, California. Mr Kamran H Broukhim is licensed to practice in California (license number G68940) and his current practice location is 12629 Riverside Dr, North Hollywood, California. He can be reached at his office (for appointments etc.) via phone at
(310) 471-5852.
NPI number for Mr Kamran H Broukhim is 1891876652 and his current mailing address is Po Box 60790, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891876652.
Physician's Profile
| Full Name | Mr Kamran H Broukhim |
|---|
| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 12629 Riverside Dr, North Hollywood, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891876652
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 03/24/2016
Medical Identifiers
Medical identifiers for Mr Kamran H Broukhim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891876652 | NPI | - | NPPES |
| 00G689400 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | G68940 (California) | 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. Mr Kamran H Broukhim 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 |
Mr Kamran H Broukhim, MD Po Box 60790, Pasadena, CA 91116-6790 Ph: (626) 204-6747 | Mr Kamran H Broukhim, MD 12629 Riverside Dr, North Hollywood, CA 91607-3488 Ph: (310) 471-5852 |
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