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DR. MAHTAB SOHREVARDI MD NPI 1578777033


NPI Information

NPI: 1578777033
Provider Name: DR. MAHTAB SOHREVARDI, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
55 E CALIFORNIA BLVD STE 204
PASADENA, CA
ZIP 91105
Phone: (626) 397-8323
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DR. Mahtab Sohrevardi, MD is an endocrinology and diabetes and metabolism internal medicine in Pasadena, CA with 24 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Mahtab Sohrevardi, MD NPI is 1578777033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 E CALIFORNIA BLVD STE 204
PASADENA, CA
ZIP 91105-954
Phone: (626) 397-8323
Fax: (626) 792-3611

The NPI 1578777033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours (HCPCS:95251)

The enumeration date for this NPI number is 5/10/2007 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism5400601-1205UTAHNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismC149677CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.