Individual
DR. SHELLEY DAY GHAFOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W 38TH ST, SUITE 200, AUSTIN, TX 78705-1167
(512) 451-0103
(512) 451-2741
Mailing address
801 W 38TH ST, SUITE 200, AUSTIN, TX 78705-1167
(512) 451-0103
(512) 451-2741
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P4858
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
P4858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127094-01
—
TX
05
—
3127094-02
—
TX
05
—
3127094-03
—
TX
05
—
3127094-04
—
TX
Enumeration date
03/19/2007
Last updated
05/04/2017
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