Individual
DR. SHERVIN R DASHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
42812
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620686
ANTHEM - NNIKY
KY
01
—
000023036P
HUMANA - NNIKY
KY
01
—
105136
SIHO - NNIKY
KY
05
—
200952350
—
IN
05
—
7100075290
—
KY
01
—
P00739667
RAILROAD MEDICARE - KY
KY
Enumeration date
02/20/2007
Last updated
01/12/2021
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