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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM TAVANAEI, MD

Active Sole Proprietor

MARYAM TAVANAEI, MD is a Nephrology healthcare provider located in NORTH HOLLYWOOD, California. NPI 1154811271 is currently active in the NPPES registry. Verify at CMS.

Nephrology · NORTH HOLLYWOOD, CA

Registration Details

NPI Number
1154811271
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2018 (8.2711260727167 yrs)
Last Updated
Oct 10, 2023
License
A173242 (CA)
Sole Proprietor
Yes

Practice Information

Address
12660 RIVERSIDE DR STE 215
NORTH HOLLYWOOD, CA, 916073430
Browse CA providers · Browse ZIP 91607
Phone
4243147660
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Nephrology

Other Nephrology Providers in NORTH HOLLYWOOD, CA

Name Credential NPI
DR. JEFFREY A GLICK M.D. 1477533511
GELA G MCHEDLISHVILI MD 1942418017
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.