Provider Demographics
NPI:1538491980
Name:SHAHRIAR ALIKHANI MD INC
Entity Type:Organization
Organization Name:SHAHRIAR ALIKHANI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHRIAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-367-0800
Mailing Address - Street 1:23025 MILL CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-367-0800
Mailing Address - Fax:949-313-7858
Practice Address - Street 1:23025 MILL CREEK DRIVE
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-367-0800
Practice Address - Fax:949-313-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG75045207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty