MEDICARE: DR. ARASH VAHDAT M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	A73458	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A73458	OTHER	CA	MEDICAL LICENCE

General Provider Information

NPI Number	:	1225134232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH VAHDAT M.D

Provider Business Mailing Address
First Line	:	PO BOX 25946
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-0946
Country	:	US
Telephone Number	:	818-665-2065
Fax Number	:

Provider Business Practice Location Address
First Line	:	18370 BURBANK BLVD STE 714
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-2827
Country	:	US
Telephone Number	:	818-665-2065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	11/21/2012

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