Provider Demographics
NPI:1417215120
Name:SHIRVANI, ARASH MOHAJER (MD, RPVI)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:MOHAJER
Last Name:SHIRVANI
Suffix:
Gender:M
Credentials:MD, RPVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 ALLIANCE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5306
Mailing Address - Country:US
Mailing Address - Phone:972-665-9100
Mailing Address - Fax:
Practice Address - Street 1:4716 ALLIANCE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5306
Practice Address - Country:US
Practice Address - Phone:972-665-9100
Practice Address - Fax:972-665-4711
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR22252086S0129X
TXBP10044259390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty