Provider Demographics
NPI:1922297357
Name:GHAYOORI, RAMIN (MD)
Entity Type:Individual
Prefix:MR
First Name:RAMIN
Middle Name:
Last Name:GHAYOORI
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:PO BOX 50203
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91614-5020
Mailing Address - Country:US
Mailing Address - Phone:212-729-3606
Mailing Address - Fax:
Practice Address - Street 1:12626 RIVERSIDE DR STE 101
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3448
Practice Address - Country:US
Practice Address - Phone:310-560-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248675207V00000X
CAA104182207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology