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Individual

DR. SHAHRIAR S SAFAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 N MACARTHUR BLVD STE 650, IRVING, TX 75061-2244
(972) 259-1188
(972) 254-0097
Mailing address
2001 N MACARTHUR BLVD STE 650, IRVING, TX 75061-2244
(972) 259-1188
(972) 254-0097

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
E7731
TX
207RG0100X
Gastroenterology Physician
Primary
E7731
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099715702
TX
Enumeration date
07/05/2006
Last updated
10/11/2007
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