Individual
PEJMA SHAZADEH SAFAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-2598
(714) 768-9799
Mailing address
12023 POCATELLO DR, TOMBALL, TX 77377-3999
(714) 768-9799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.250597
OH
208600000X
Surgery Physician
R77377
AZ
Other
Enumeration date
04/15/2019
Last updated
07/31/2021
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