Individual
DERRICK SHAOULPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
347 5TH AVE, 1300, NEW YORK, NY 10016-5010
(212) 529-5432
Mailing address
347 5TH AVE, 1300, NEW YORK, NY 10016-5010
(212) 529-5432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055597
NY
Other
Enumeration date
03/25/2012
Last updated
03/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us