| Shahryar Davari MD PC | |
|
11544 Downey Ave Downey CA 90241-4955 | |
| (562) 922-2020 | |
| (562) 286-8226 |
| Full Name | Shahryar Davari MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 11544 Downey Ave, Downey, California |
| Authorized Official Name and Position | Shahryar Davari (M.D./PRESIDENT) |
| Authorized Official Contact | 5629222020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahryar Davari MD PC 17595 Harvard Ave # C1005 Irvine CA 92614-8516 | Shahryar Davari MD PC 11544 Downey Ave Downey CA 90241-4955 Ph: (562) 922-2020 |
| NPI Number | 1770083081 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Medicare PECOS PAC ID | 3476817867 |
|---|---|
| Medicare Enrollment ID | O20180511000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770083081 | NPI | - | NPPES |
| A76725 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A76725 (California) | Primary |
| Provider Name | Shahryar Davari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346244373 PECOS PAC ID: 9133345085 Enrollment ID: I20180827000651 |
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