Shiva Izaddoust D.D.S. P.A. in - Dental
Shiva Izaddoust D.D.S. P.A. - NPI 1275667503
Shiva Izaddoust D.D.S. P.A. is a Dental in , . Shiva Izaddoust D.D.S. P.A. practices all healthcare services and medical treatments related to Dental. The NPI Number for Shiva Izaddoust D.D.S. P.A. is 1275667503. The last update date is 2020-08-22.
Shiva Izaddoust D.D.S. P.A.'s current location address is , , . You can contact this provider via phone number . The mailing address for Shiva Izaddoust D.D.S. P.A. is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shiva Izaddoust D.D.S. P.A. |
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| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
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| Authorized Official Name | Izaddoust Shiva |
| Credentials | D.D.S. |
| Telephone Number | 2104320298 |
NPI Number Detail
| NPI Number | 1275667503 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
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| Taxonomy | 261Qd0000X |
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Definition: Provides general and specialized dental care and oral surgery. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7028 | TX | BLUE CROSS BLUE SHIELD | |
| G60126-02 | TX | TEXAS CHIP | |
| 1300534 | TX | UNITED CONCORDIA |
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What is the Shiva Izaddoust D.D.S. P.A.'s 1275667503?
The Shiva Izaddoust D.D.S. P.A.'s NPI (National Provider Identifier) Number is 1275667503. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shiva Izaddoust D.D.S. P.A. is located?
The Shiva Izaddoust D.D.S. P.A. is situated at the following address: , , , .
What is Shiva Izaddoust D.D.S. P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shiva Izaddoust D.D.S. P.A. is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.
When did the Shiva Izaddoust D.D.S. P.A. receive its 1275667503?
The Shiva Izaddoust D.D.S. P.A. was issued its 1275667503 on 2007-03-16, which is the date when the organization was assigned this unique identifier.
When was the Shiva Izaddoust D.D.S. P.A.'s information last updated?
The Shiva Izaddoust D.D.S. P.A.'s information was last updated on 2020-08-22.