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Licensing details for: A 88061

Name: NIKRAVESH, TANNAZ

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Rosalind Franklin University, The Chicago Medical School

Graduation Year: 2002

Address of Record

6404 Wilshire Blvd Ste 600
LOS ANGELES CA 90048-5508
LOS ANGELES county
Map

Issuance Date

July 2, 2004

Expiration Date

October 31, 2027

Current Date / Time

August 10, 2026
7:56:52 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
4
Primary Area of Practice
Physical Medicine and Rehabilitation
Secondary Area of Practice
Not Applicable
ABMS Certifications
American Board of Physical Medicine and Rehabilitation - Physical Medicine and Rehabilitation
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 10-19 Hours
Percentage (%) of patient care hours spent on telehealth - 0
Training - Decline to State
Research - None
Administration - 1-9 Hours
Other - 1-9 Hours
Primary Practice Location
Zip - 90048
United States Primary Practice Location
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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