Farnaz Shadravan is a Dentist in Berkeley, California. Farnaz Shadravan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Farnaz Shadravan is 1558427542. The last update date is 2012-03-07.
Farnaz Shadravan's current location address is 1860 Alcatraz Avenue, Berkeley, California. You can contact this provider via phone number 5106538500. The mailing address for Farnaz Shadravan is 1860 Alcatraz Avenue, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Farnaz Shadravan |
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Address | 1860 Alcatraz Avenue, Berkeley, California |
Phone Number | 5106538500 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1558427542 |
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Provider Enumeration Date | 2006-12-28 |
Last Updated Date | 2012-03-07 |
Provider Mailing Address Detail
Address | 1860 Alcatraz Avenue |
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City | Berkeley |
State | California (CA) |
Post Code | 94703 |
Phone Number | 5106538500 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 42092 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Farnaz Shadravan?
The Farnaz Shadravan has been issued the NPI (National Provider Identifier) 1558427542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Farnaz Shadravan located?
The Farnaz Shadravan is located at 1860 Alcatraz Avenue, Berkeley, CA 94703.
What is Farnaz Shadravan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Farnaz Shadravan is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558427542 to Farnaz Shadravan?
The Centers for Medicare & Medicaid Services assigned the 1558427542 to Farnaz Shadravan on 2006-12-28.
As of what date were the Farnaz Shadravan's details last updated?
The information pertaining to the Farnaz Shadravan, including its address, specialty, and other details, was most recently updated on 2012-03-07.
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