Provider Demographics
NPI:1952560815
Name:YASHARPOUR, MICHELLE RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:RUTH
Last Name:YASHARPOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:RUTH
Other - Last Name:YADEGARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8549 WILSHIRE BLVD STE 1426
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3104
Mailing Address - Country:US
Mailing Address - Phone:310-285-6650
Mailing Address - Fax:866-285-1590
Practice Address - Street 1:150 N ROBERTSON BLVD STE 307
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2145
Practice Address - Country:US
Practice Address - Phone:310-285-6650
Practice Address - Fax:866-285-1590
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106481207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy