Provider Demographics
NPI:1154494755
Name:SHAARAWY, RAMI M (MD)
Entity Type:Individual
Prefix:
First Name:RAMI
Middle Name:M
Last Name:SHAARAWY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21822 SHERMAN WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1928
Mailing Address - Country:US
Mailing Address - Phone:818-716-0557
Mailing Address - Fax:818-716-8729
Practice Address - Street 1:21822 SHERMAN WAY STE 100
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1928
Practice Address - Country:US
Practice Address - Phone:818-716-0557
Practice Address - Fax:818-716-8729
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96619207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine