Provider Demographics
NPI:1043378938
Name:DR. MIHRAN SHIRINIAN
Entity Type:Organization
Organization Name:DR. MIHRAN SHIRINIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:MR
Authorized Official - First Name:MIHRAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHIRINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-543-7574
Mailing Address - Street 1:1505 WILSON TER
Mailing Address - Street 2:SUITE 340
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4071
Mailing Address - Country:US
Mailing Address - Phone:818-543-7574
Mailing Address - Fax:818-956-7609
Practice Address - Street 1:1505 WILSON TER
Practice Address - Street 2:SUITE 340
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4071
Practice Address - Country:US
Practice Address - Phone:818-543-7574
Practice Address - Fax:818-956-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty