Individual
SHAYZREEN M ROSHANRAVAN
Active
Individual
SHAYZREEN M ROSHANRAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M4490
TX
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
M4490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184522405
—
TX
05
—
184522407
—
TX
05
—
184522408
—
TX
Enumeration date
08/30/2006
Last updated
10/17/2013
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