Provider Demographics
NPI:1831393388
Name:GHAVAMI, ASHKAN (MD)
Entity type:Individual
Prefix:DR
First Name:ASHKAN
Middle Name:
Last Name:GHAVAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 N CAMDEN DR
Mailing Address - Street 2:SUITE 780
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4409
Mailing Address - Country:US
Mailing Address - Phone:310-855-2110
Mailing Address - Fax:310-877-4705
Practice Address - Street 1:433 N CAMDEN DR
Practice Address - Street 2:SUITE 780
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4409
Practice Address - Country:US
Practice Address - Phone:310-855-2110
Practice Address - Fax:310-877-4705
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA98255208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand