Abul H. Shirazi, MD, Inc.

Key facts

NPI

1003983040

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatry Physician 2084P0800X

License

A44072 (CA)

Legal business name

ABUL H. SHIRAZI, MD, INC.

Practice address

9849 Melvin Avenue
Northridge, CA 91324-1636

Phone

(818) 372-0656

Fax

(818) 709-6358

NPI assigned

Nov 28, 2006

Organization subpart

No

Authorized official

Name

Abul H Shirazi, M.D. NPI 1205903242

Title

Owner

Phone

(818) 372-0656

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abul H Shirazi, M.D. Psychiatry Physician · Northridge, CA · NPI 1205903242
  Medicare reassignment NPD Authorized official CA · PSYCHIATRY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2010.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1003983040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 MELVIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241636",
            "telephone_number": "818-372-0656",
            "fax_number": "818-709-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 MELVIN AVENUE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241636",
            "telephone_number": "818-372-0656",
            "fax_number": "818-709-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUL H. SHIRAZI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "ABUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-372-0656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Northridge, CA · Psychiatry Physician in California