Jahan Shiravand

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAD5326 Issued in AZ

Practice address

1930 Mesquite Ave Ste 5
Lake Havasu City, AZ 86403-5772

Phone

(928) 855-5252

Fax

(928) 855-5283

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1184030207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 5",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772",
            "telephone_number": "928-855-5252",
            "fax_number": "928-855-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MESQUITE AVE STE 5",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035772",
            "telephone_number": "928-855-5252",
            "fax_number": "928-855-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAVAND",
        "first_name": "JAHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD5326",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00002249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Hearing Instrument Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.