Individual
PARVIZ SHAVANDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 CHALKSTONE AVENUE, PROVIDENCE VA HOSPITAL, PROVIDENCE, RI 02908
(401) 273-7100
Mailing address
830 CHALKSTONE AVENUE, PROVIDENCE VA HOSPITAL, PROVIDENCE, RI 02908
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77296
MA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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