Shahla S Azhdari in Fairview - General Practice

Shahla S Azhdari - NPI 1386664217

Shahla S Azhdari is a General Practice in Fairview, Tennessee. Shahla S Azhdari practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shahla S Azhdari is 1386664217. The last update date is 2007-07-08.

Shahla S Azhdari's current location address is 2280 Fairview Blvd, Fairview, Tennessee. You can contact this provider via phone number 6157992090 and fax number 6157992038. The mailing address for Shahla S Azhdari is 2280 Fairview Blvd, Fairview, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Shahla S Azhdari
Address 2280 Fairview Blvd, Fairview, Tennessee
Phone Number 6157992090
Fax Number 6157992038
Sole Proprietor N
Credentials DDS MS

NPI Number Detail

NPI Number 1386664217
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2280 Fairview Blvd
City Fairview
State Tennessee (TN)
Post Code 37062
Phone Number 6157992090
Fax Number 6157992038

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS0000004256
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4944 TN --
858251 UNITED CONCORDIA
56642 TN BCBS OF TN

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FAQs about Shahla S Azhdari

What is the unique 10-digit identification code assigned to Shahla S Azhdari by the Centers for Medicare & Medicaid Services?

The Shahla S Azhdari has been issued the NPI (National Provider Identifier) 1386664217, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Shahla S Azhdari?

The Shahla S Azhdari is physically situated at 2280 Fairview Blvd, in the city of Fairview, state of TN, with the postal code 37062.

What is Shahla S Azhdari's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shahla S Azhdari is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386664217 to Shahla S Azhdari?

The Centers for Medicare & Medicaid Services assigned the 1386664217 to Shahla S Azhdari on 2006-07-21.

As of what date was the information pertaining to Shahla S Azhdari, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shahla S Azhdari, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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