Provider Demographics
NPI:1336292192
Name:RAMI MOUSTAFA SHAARAWY M.D. MEDICAL
Entity Type:Organization
Organization Name:RAMI MOUSTAFA SHAARAWY M.D. MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:MOUSTAFA
Authorized Official - Last Name:SHAARAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-716-0557
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:818-717-0390
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:818-717-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty