Individual
DR. EDWARD ROBERT CHAFIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 E 32ND ST, SUITE 508, AUSTIN, TX 78705-2707
(512) 807-3140
Mailing address
1015 E 32ND ST, SUITE 508, AUSTIN, TX 78705-2707
(512) 807-3140
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
H7595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060046728
MEDICARE RAILROAD
TX
05
—
126591003
—
TX
Enumeration date
08/02/2005
Last updated
01/27/2022
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