Provider Demographics
NPI:1497801393
Name:KARAYAN, SHANT A (DC)
Entity Type:Individual
Prefix:DR
First Name:SHANT
Middle Name:A
Last Name:KARAYAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 W ALAMEDA AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4819
Mailing Address - Country:US
Mailing Address - Phone:818-972-9142
Mailing Address - Fax:818-972-2074
Practice Address - Street 1:2625 W ALAMEDA AVE STE 310
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4819
Practice Address - Country:US
Practice Address - Phone:818-972-9142
Practice Address - Fax:818-972-2074
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA016442111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor