| Doctor Name: | SIRANOUSH H KEVORKIAN |
| NPI Number: | 1457416265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A35663 |
| Business Practice Address: | 8781 Van Nuys Blvd Panorama City, CA - 914022406 |
| Business Phone Number: | 8189200808 |
| Business Fax Number: | 8189206603 |
| Mailing Address: | 425 Palm Drive, Unit 1 GLENDALE |
| State: | CA |
| Postal Code: | 91202 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A35663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |