Organization
SHAHROOZ DERMATOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHID SHAHROOZ MD (OWNER)
(317) 859-9859
Entity
Organization
Contact information
Practice address
8051 S EMERSON AVE, STE 450, INDIANAPOLIS, IN 46237-8600
(317) 859-9859
(317) 859-3265
Mailing address
8051 S EMERSON AVE, STE 450, INDIANAPOLIS, IN 46237-8600
(317) 859-9859
(317) 859-3265
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01036322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356359
ANTHEM PIN
IN
01
—
1649272097
PHYSICIAN NPI
IN
Enumeration date
03/09/2007
Last updated
04/11/2011
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