IRAJ SHADRAVAN (NPI# 1962679001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962679001 |
| Entity Type | Individual |
| Full Name | IRAJ SHADRAVAN |
| Credential | MD |
| Practice Address |
1342 Marc Antony Dr Baton Rouge LA 70816-1946 |
| Practice Telephone | 2252726238 |
| Mailing Telephone | 2252726238 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
011273 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1342 MARC ANTONY DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447518246 | Andrew Abreo | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-30 |
| 1669549283 | West Jefferson Physician Services | Pediatrics | 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 | 2006-11-29 |
| 1396837845 | Jane Maroney Sayem El-dahr | Pediatrics | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-09-29 |
| 1073521647 | Tonya Maria Clayton | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Shreveport, LA 71103-4228 | 2006-08-03 |
| 1386665305 | Augusto C. Ochoa | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2006-07-23 |
| 1902823966 | Sami Labib Bahna | Pediatrics | 1501 Kings Hwy, Department of Pediatric, Section of Allergy & Immunolog, Shreveport, LA 71103-4228 | 2006-07-16 |
| 1215923669 | Emilio J Saturno | Pediatrics | 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 | 2005-09-21 |
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on IRAJ SHADRAVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.