Provider Demographics
NPI:1538104518
Name:AMMARI, RAZAN F (MD)
Entity Type:Individual
Prefix:MRS
First Name:RAZAN
Middle Name:F
Last Name:AMMARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:RAZAN
Other - Middle Name:F
Other - Last Name:AMMARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:12015 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3726
Mailing Address - Country:US
Mailing Address - Phone:818-487-1881
Mailing Address - Fax:
Practice Address - Street 1:12015 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-3726
Practice Address - Country:US
Practice Address - Phone:818-487-1881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71908207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine