Individual
PEZHMAN SHOURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
990 ELLISTON WAY STE 101, THOMPSONS STATION, TN 37179-5482
(615) 905-8083
Mailing address
515A HIGHLAND TERRACE, MURFREESBORO, TN 37130
(540) 951-1111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2795
TN
208D00000X
General Practice Physician
0116022668
VA
Other
Enumeration date
06/13/2010
Last updated
12/03/2020
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