OrganizationShahram F. Ravan, M.D., Inc.(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9001 Wilshire Blvd., Suite 200, Beverly Hills, CA 90211(310) 858-9200PECOS EnrollmentBased on the most recent information from CMS, provider Shahram F. Ravan, M.D., Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255486866Provider TypeOrganizationFull NameShahram F. Ravan, M.D., Inc.Other Name<Unavail>SubpartYesEnumeration Date1/24/2007Last Updated11/24/2025Contact InformationPractice LocationPractice Address9001 Wilshire Blvd., Suite 200, Beverly Hills, CA 90211Phone(310) 858-9200Fax(310) 271-3793Mailing LocationMailing Address9001 Wilshire Blvd., Suite 200, Beverly Hills, CA 90211Phone(310) 858-9200Fax(310) 271-3793Authorized OfficialNameRavan, Shahram F (President)Phone(323) 857-0800Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseA40168CaliforniaProvider IdentifiersIDDescriptionIssuerID00A401680DescriptionMedicaidIssuerUnlistedCalifornia