Provider Demographics
NPI:1316191455
Name:SOHAIL SHAYFER MD INC
Entity Type:Organization
Organization Name:SOHAIL SHAYFER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:SHAYFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-981-3688
Mailing Address - Street 1:16055 VENTURA BLVD STE 444
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2601
Mailing Address - Country:US
Mailing Address - Phone:818-981-3688
Mailing Address - Fax:818-981-3588
Practice Address - Street 1:16055 VENTURA BLVD STE 444
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2601
Practice Address - Country:US
Practice Address - Phone:818-981-3688
Practice Address - Fax:818-981-3588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84464207X00000X, 207XS0106X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH04211Medicare UPIN
CACR582AMedicare PIN
CA4672160001Medicare NSC