Shahryar Keikhosrow Kavoussi, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

4301083132 Issued in MI

Practice address

1500 E Medical Center Dr
L4000 WH
Ann Arbor, MI 48109-0999

Phone

(734) 936-7401

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Austin Endometriosis & Female Infertility Center PA

  • Gynecology Physician
  • Austin, TX
  • NPI 1710085089

  Reproductive Endocrinology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083735294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "L4000 WH",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090999",
            "telephone_number": "734-936-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "L4000 WH",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090999",
            "telephone_number": "734-936-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVOUSSI",
        "first_name": "SHAHRYAR",
        "middle_name": "KEIKHOSROW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301083132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kauranen
• Leela T. Kausch, LMSW, MA, CVRT
• Rini Kaushal, LMFT
• Tara Lynn Kautzer, CRNA
• Katherine Rose Kavanaugh
• Abed Rahman Kawakibi
• Aki Kawamoto, PH.D.
• Hannah Grace Kay, MD
• Joshua Kay, PHD
• Lexie Kay

• Reproductive Endocrinology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Reproductive Endocrinology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.