MEDICARE: NARGIS R. AKHANJEE MD

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	207Q00000X	Family Medicine Physician	A42277	CA
2	207Q00000X	Family Medicine Physician	C10007182	DE

General Provider Information

NPI Number	:	1508843699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARGIS R. AKHANJEE MD

Provider Business Mailing Address
First Line	:	2105 BEVERLY BLVD
Second Line	:	STE 217A
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-483-5430
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 BEVERLY BLVD
Second Line	:	STE 217A
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-483-5430
Fax Number	:	213-483-4151

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	04/11/2008

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