Mahtab Sohrevardi (NPI# 1578777033, PAC ID# 0143312678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1578777033 |
| PAC ID by PECOS | 0143312678 |
| Professional Enrollment ID | I20190702002081 |
| Full Name | Mahtab Sohrevardi |
| Organization Legal Name | MED INSTITUTE |
| Address |
9400 Brighton Way Suite 410 Beverly Hills CA 90210-4711 |
| Phone Number | 3102562426 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 9537238027 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050438 | HUNTINGTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 | 3102562426 | MED INSTITUTE |
| Organization Legal Name | MED INSTITUTE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Gorokhov | Internal Medicine | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Emiliya Shapiro Ganezer | Nurse Practitioner | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Trent Taylor | Physician Assistant | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Veronica Ratevosian | Physician Assistant | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Michelle L Habets | Physician Assistant | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Street Address |
9400 BRIGHTON WAY SUITE 410 |
| City | BEVERLY HILLS |
| State | CA |
| Zip | 90210-4711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Gorokhov | Internal Medicine | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Alex Foxman | Internal Medicine | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4758 | |
| Liza M Capiendo | Colorectal Surgery (proctology) | 9400 Brighton Way, Suite 307, Beverly Hills, CA 90210-4710 | |
| Eiman Firoozmand | Colorectal Surgery (proctology) | 9400 Brighton Way, Suite 307, Beverly Hills, CA 90210-4710 | |
| Eric A Lewis | Dermatology | 9400 Brighton Way, Suite 201, Beverly Hills, CA 90210-4709 | |
| Bruce L Miller | Rheumatology | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4709 | |
| Alec R Pearlstein | Internal Medicine | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 | |
| Emiliya Shapiro Ganezer | Nurse Practitioner | Med Institute | 9400 Brighton Way, Suite 410, Beverly Hills, CA 90210-4711 |
| Ehsan Ali | Internal Medicine | 9400 Brighton Way, Suite 303, Beverly Hills, CA 90210-4710 | |
| Gary Hoffman | Colorectal Surgery (proctology) | 9400 Brighton Way, Suite 307, Beverly Hills, CA 90210-4710 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Sidikaro | Ophthalmology | 9735 Wilshire Blvd, Suite 219, Beverly Hills, CA 90210-2110 | |
| Fouad E Ben-isaac | Pulmonary Disease | 1200 Shadow Hill Way, Beverly Hills, CA 90210-2234 | |
| Lynn K Egerman | Psychiatry | 610 N Oakhurst Dr, Beverly Hills, CA 90210-3531 | |
| Christopher Mosley | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 465 N Roxbury Dr, Suite 101, Beverly Hills, CA 90210-4207 |
| Gabriel Gabbaypour | Oral Surgery | 465 N Roxbury Dr, Suite 815, Beverly Hills, CA 90210-4211 | |
| Wendy Lyna Hoffman | Dermatology | Lawrence Rivkin Md A Med Corp | 465 N Roxbury Dr, 803 Dermatology Associates Medical Grp, Beverly Hills, CA 90210-4211 |
| Joan Osder | Dermatology | Lawrence Rivkin Md A Med Corp | 465 N Roxbury Dr, 803 Dermatology Associates Medical Grp, Beverly Hills, CA 90210-4211 |
| Patrice M Healey | Dermatology | Lawrence Rivkin Md A Med Corp | 465 N Roxbury Dr, 803 Dermatology Associates Medical Grp, Beverly Hills, CA 90210-4211 |
| Lawrence S Rivkin | Dermatology | Lawrence Rivkin Md A Med Corp | 465 N Roxbury Dr, 803 Dermatology Associates Medical Grp, Beverly Hills, CA 90210-4211 |
| Steven R Weiss | Dermatology | Lawrence Rivkin Md A Med Corp | 465 N Roxbury Dr, 803 Dermatology Associates Medical Grp, Beverly Hills, CA 90210-4211 |
| Find all physicians in zip 90210 | |||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | BEVERLY HILLS + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Mahtab Sohrevardi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.