Individual
SHAYAN ABDOLLAH ZADEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
391 SOUTHCREST CIR STE 101, SOUTHAVEN, MS 38671-4848
(662) 772-3942
Mailing address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
07/05/2025
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