Provider Demographics
NPI:1205054129
Name:MARVI, MICHAEL M (MD, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:MARVI
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:501 S BUENA VISTA ST
Mailing Address - Street 2:NEUROSCIENCE INSTITUTE, FIRST FLOOR
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4809
Mailing Address - Country:US
Mailing Address - Phone:818-847-3271
Mailing Address - Fax:818-847-4842
Practice Address - Street 1:501 S BUENA VISTA ST
Practice Address - Street 2:NEUROSCIENCE INSTITUTE, FIRST FLOOR
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4809
Practice Address - Country:US
Practice Address - Phone:818-847-3271
Practice Address - Fax:818-847-4842
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2021-07-01
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Provider Licenses
StateLicense IDTaxonomies
CAA966062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology