Organization
JAMES A. HALEY VETERANS ADMINISTRATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOHREH IRAVANI (STAFF PATHOLOGIST)
(813) 972-2000
Entity
Organization
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, ATTENTION: DR. SHOHREH IRAVANI, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME67299
FL
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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