Shiva Roghani is a Pediatric Dentistry in Tustin, California. Shiva Roghani practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shiva Roghani is 1083803183. The last update date is 2011-08-17.
Shiva Roghani's current location address is 13420 Newport Ave, Tustin, California. You can contact this provider via phone number 7148321343. The mailing address for Shiva Roghani is 13420 Newport Ave, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shiva Roghani |
|---|---|
| Address | 13420 Newport Ave, Tustin, California |
| Phone Number | 7148321343 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083803183 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 13420 Newport Ave |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 927803745 |
| Phone Number | 7148321343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 42766 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique provider identifier assigned to Shiva Roghani?
The Shiva Roghani has been issued the NPI (National Provider Identifier) 1083803183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shiva Roghani?
The Shiva Roghani is situated at 13420 Newport Ave, in the city of Tustin, state of CA, with the zip code 927803745.
What is the Shiva Roghani's area of specialization and corresponding taxonomy classification?
The Shiva Roghani's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Shiva Roghani receive the assignment of its 1083803183 from the Centers for Medicare & Medicaid Services?
The Shiva Roghani was issued its 1083803183 by the Centers for Medicare & Medicaid Services on 2007-10-15.
As of what date were the Shiva Roghani's details last updated?
The information pertaining to the Shiva Roghani, including its address, specialty, and other details, was most recently updated on 2011-08-17.