MEDICARE: SHAHRIAR ALIKHANI 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	207L00000X	Anesthesiology Physician	G75045	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861446833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHRIAR ALIKHANI MD

Provider Business Mailing Address
First Line	:	23025 MILL CREEK DR
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1257
Country	:	US
Telephone Number	:	949-367-0800
Fax Number	:	949-313-7858

Provider Business Practice Location Address
First Line	:	23025 MILL CREEK DR
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1257
Country	:	US
Telephone Number	:	949-367-0800
Fax Number	:	949-313-7858

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	05/02/2012

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