Iraj Shafagh in Havertown - Prosthodontics

Iraj Shafagh - NPI 1043436579

Iraj Shafagh is a Prosthodontics in Havertown, Pennsylvania. Iraj Shafagh practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Iraj Shafagh is 1043436579. The last update date is 2007-07-08.

Iraj Shafagh's current location address is 1305 W Chester Pike, Havertown, Pennsylvania. You can contact this provider via phone number 6104466688 and fax number 6104466844. The mailing address for Iraj Shafagh is 1305 W Chester Pike, Havertown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Iraj Shafagh
Address 1305 W Chester Pike, Havertown, Pennsylvania
Phone Number 6104466688
Fax Number 6104466844
Sole Proprietor Y
Credentials DMD,MSC

NPI Number Detail

NPI Number 1043436579
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1305 W Chester Pike
City Havertown
State Pennsylvania (PA)
Post Code 190832929
Phone Number 6104466688
Fax Number 6104466844

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No DS-019264-L
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

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FAQs about Iraj Shafagh

What is the unique provider identifier assigned to Iraj Shafagh?

The Iraj Shafagh has been issued the NPI (National Provider Identifier) 1043436579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Iraj Shafagh is physically located?

The Iraj Shafagh is physically situated at the following address: 1305 W Chester Pike, Havertown, PA, 190832929.

What is Iraj Shafagh's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Iraj Shafagh is Prosthodontics, and the taxonomy code that categorizes this field of expertise is 1223P0700X.

On what date did the Iraj Shafagh receive the assignment of its 1043436579 from the Centers for Medicare & Medicaid Services?

The Iraj Shafagh was issued its 1043436579 by the Centers for Medicare & Medicaid Services on 2007-04-17.

When was the information pertaining to Iraj Shafagh most recently updated or revised?

The details related to Iraj Shafagh, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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