Healthcare Provider Details

I. General information

NPI: 1326209511
Provider Name (Legal Business Name): SHARVEN TAGHAVI M.D., M.P.H., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOUMA BLVD
METAIRIE LA
70006-2996
US

IV. Provider business mailing address

1430 TULANE AVE # 8622
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4000
  • Fax:
Mailing address:
  • Phone: 504-988-5111
  • Fax: 504-988-1838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number309285
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number309285
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberHS000239L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: