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General NPI Number Information
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NPI Number | 1467717975
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Entity Type | Organization
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Legal Business Name | MEHRAS AKHAVAN, MD, INC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4940 VAN NUYS BLVD STE 105
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1740
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Country | US
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Telephone | 818-990-9050
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Fax | 818-990-9070
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Provider Business Mailing Address
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Address Line | 4940 VAN NUYS BLVD STE 301
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1700
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Country | US
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Telephone | 818-990-9050
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MEHRAS AKHAVAN
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Credential | MD
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Telephone | 818-990-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A82275
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A82275
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number | A82275
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A82275
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License Number State | CA
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