Healthcare Provider Details

I. General information

NPI: 1225091812
Provider Name (Legal Business Name): SIAMAK KARIMIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 VAN NUYS BLVD. SUITE 415
SHERMAN OAKS CA
91403-1827
US

IV. Provider business mailing address

4955 VAN NUYS BLVD STE 415
SHERMAN OAKS CA
91403-1827
US

V. Phone/Fax

Practice location:
  • Phone: 818-501-5686
  • Fax: 818-501-6151
Mailing address:
  • Phone: 818-501-5686
  • Fax: 818-501-6151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberDR.0058543
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number43360
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number9596121-1205
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9596121-1205
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number48201
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberM-15992
License Number StateID
# 7
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberDR.0058543
License Number StateCO
# 8
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA48218
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD184976
License Number StatePA
# 10
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number70710
License Number StateWI
# 11
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD184976
License Number StateOR
# 12
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number55914
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: