Individual
DR. SHADI DAMANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8144 WALNUT HILL LN STE 1300, DALLAS, TX 75231-4365
(214) 420-7070
(214) 420-7380
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
T2147
TX
Other
Enumeration date
03/23/2016
Last updated
06/19/2024
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