Organization Active NPI

Shahrad Rady Rahban, MD Inc

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1144540907
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A76662 Issued in CA
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

Updated by the provider on Oct 23, 2024

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.