Provider Demographics
NPI:1821287509
Name:SADRPOUR, SHERVIN (MD)
Entity type:Individual
Prefix:
First Name:SHERVIN
Middle Name:
Last Name:SADRPOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16542 VENTURA BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4562
Mailing Address - Country:US
Mailing Address - Phone:818-782-5041
Mailing Address - Fax:818-205-9091
Practice Address - Street 1:16542 VENTURA BLVD STE 402
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4562
Practice Address - Country:US
Practice Address - Phone:818-782-5041
Practice Address - Fax:818-205-9091
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.092780207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology