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NPI Code Detail

MEDICARE: RYAN AHMAD SAHRARAVAND

MEDICARE: RYAN AHMAD SAHRARAVAND
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
1390200000XStudent in an Organized Health Care Education/Training Program
2390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1649070483
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN AHMAD SAHRARAVAND
Provider Business Mailing Address
First Line : 18 WYCKHAM CIR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77382-5829
Country : US
Telephone Number : 832-258-9850
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 832-822-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/13/2026

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Directions to “ RYAN AHMAD SAHRARAVAND ” Practice Location

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