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General NPI Number Information
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NPI Number | 1023233830
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Entity Type | Organization
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Legal Business Name | OMNI MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 436 N BEDFORD DR SUITE 214
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4310
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Country | US
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Telephone | 310-274-1370
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Fax | 310-271-3793
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Provider Business Mailing Address
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Address Line | 436 N BEDFORD DR SUITE 214
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4310
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Country | US
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Telephone | 310-274-1370
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Fax | 310-271-3793
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAHRAM FRANCOIS RAVAN
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Credential | M.D.
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Telephone | 310-274-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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