Active NPI
Shahrad Rady Rahban, MD Inc
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1144540907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A76662
- Legal business name
- SHAHRAD RADY RAHBAN, MD INC
- Practice address
- 152 S Lasky Dr Ste 100
Beverly Hills, CA 90212-1720 - Phone
- (310) 550-9855
- Fax
- (310) 550-9856
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rady Rahban, MD
- Title
- Owner
- Phone
- (310) 550-9855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A76662 | CA | Primary |
Addresses
Primary practice location
152 S Lasky Dr Ste 100
Beverly Hills, CA 90212-1720
Mailing address
152 S Lasky Dr Ste 100
Beverly Hills, CA 90212-1720
Phone (310) 550-9855
National Provider Directory
National Provider DirectoryLocations
152 S Lasky Dr
Ste 100
Beverly Hills, CA 90212
Phone (310) 550-9855
9730 Wilshire Blvd
Ste 215
Beverly Hills, CA 90212
Phone (310) 392-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1336173392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1144540907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121720",
"telephone_number": "310-550-9855",
"fax_number": "310-550-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121720",
"telephone_number": "310-550-9855",
"fax_number": "310-550-9856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHRAD RADY RAHBAN, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-03",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "RAHBAN",
"authorized_official_first_name": "RADY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-550-9855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A76662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.