Individual
FARIBORZ SHAHROOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9656 SPRUANCE CT, INDIANAPOLIS, IN 46256-9622
(812) 238-7783
(812) 238-4506
Mailing address
9656 SPRUANCE CT, INDIANAPOLIS, IN 46256-9622
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01036398A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200353840
—
IN
01
—
300126770
RR MEDICARE
IN
Enumeration date
05/17/2007
Last updated
08/24/2009
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