Provider Demographics
NPI:1497817332
Name:AKHAVAN, MEHRAS (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHRAS
Middle Name:
Last Name:AKHAVAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 VAN NUYS BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1742
Mailing Address - Country:US
Mailing Address - Phone:818-990-9050
Mailing Address - Fax:818-990-9449
Practice Address - Street 1:4940 VAN NUYS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1742
Practice Address - Country:US
Practice Address - Phone:818-990-9050
Practice Address - Fax:818-990-9449
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA822752081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine