Individual
MATTHEW A SHIRZADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1210 GEMINI PL STE 300, COLUMBUS, OH 43240-6112
(614) 383-6450
(614) 383-6455
Mailing address
9002 N MERIDIAN ST STE 209, INDIANAPOLIS, IN 46260-5350
(317) 706-7246
(317) 818-0929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025159
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.025159
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.025159
OH
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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