MD Sam A Ebrahimi, NPI 1114916376
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tarzana, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114916376
NPI Entity Type Individual
Provider Name MD Sam A Ebrahimi
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 18375 Ventura Blvd, Suite# 404, Tarzana, CA, US
Provider Mailing Address 18375 Ventura Blvd, Suite# 404, Tarzana, CA, US, 913564218
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

208G00000X

Taxonomy Name Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Group

Allopathic & Osteopathic Physicians

License No. A060777
License State CA
Description A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Other Name

MD Sam Afkham-ebrahimi
Professional Name

Business Address

MD Sam A Ebrahimi
18375 Ventura Blvd
Suite# 404

Tarzana, CA, US

Phone: 818-422-5322

Mailing Address

MD Sam A Ebrahimi
18375 Ventura Blvd
Suite# 404
Tarzana, CA, US
ZIP 913564218
Phone: 301-537-7751

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2086S0129X

Allopathic & Osteopathic Physicians

Surgery

MD33806 DC No

2086S0129X

Allopathic & Osteopathic Physicians

Surgery

0101233742 VA No

2086S0129X

Allopathic & Osteopathic Physicians

Surgery

D0059318 MD No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100336 JHHC PRIORITY PARTNER 01
J449-0010 DC CAREFIRST 01
035556900 DC MEDICAID 05
4129526 MAMSI LIFE & HEALTH 01
484AWA MD CAREFIRST MARYLAND 01
P00435744 DC RAILROAD MEDICARE 01
404465702 MD MEDICAID 05

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