Individual
SHAHROKH NADERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., P.S.C.
Contact information
Practice address
1023 N ELM ST, HENDERSON, KY 42420-2712
(270) 826-0838
(270) 830-0371
Mailing address
1023 N ELM ST, HENDERSON, KY 42420-2712
(270) 826-0838
(270) 830-0371
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01044879A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
31902
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64319023
—
KY
Enumeration date
07/21/2005
Last updated
07/08/2007
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