Individual
SEYED ABDOLJAVAD BEHESHTI SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE DR, DEPARTMENT OF PATHOLOGY, CORNING, NY 14830-3696
(607) 937-1451
(607) 937-7860
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
268188
NY
207ZD0900X
Dermatopathology (Pathology) Physician
MD453997
PA
207ZP0101X
Anatomic Pathology Physician
Primary
268155-1
NY
207ZP0101X
Anatomic Pathology Physician
MD453997
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03536096
—
NY
Enumeration date
04/20/2007
Last updated
03/25/2021
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