person
Payam Benjamin Nikravesh, DPM
Foot & Ankle Surgery Podiatrist in Los Angeles, California
NPI 1437192200

Payam Benjamin Nikravesh is a Foot & Ankle Surgery Podiatrist based in Los Angeles, CA and is specialized in Foot & Ankle Surgery. Payam Benjamin Nikravesh practices in Los Angeles, CA and has the professional credentials of DPM. The NPI Number for Payam Benjamin Nikravesh is 1437192200 and holds a License No. E4103 (California).

The current practice location address for Payam Benjamin Nikravesh is 6404 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 323-782-8586 and via fax at 323-782-8528.

Location: 6404 Wilshire Blvd, Los Angeles, CA, 90048-5501
person
Provider Profile Details
NPI Number
1437192200
Provider Name
Payam Benjamin Nikravesh
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6404 Wilshire Blvd, Los Angeles, CA, 90048-5501
Phone Number
323-782-8586
Fax Number
323-782-8528
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E41032 05 CA
institution
Provider Business Practice Location Address Details
Address
6404 Wilshire Blvd
City
State
Zip
90048-5501
Phone Number
323-782-8586
Fax Number
323-782-8528
person
Provider Business Mailing Address Details
Address
6404 Wilshire Blvd
City
State
Zip
90048-5501
Phone Number
323-782-8586
Fax Number
323-782-8528
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4103 (California)
Definition
Definition to come...
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