Organization
FARSHAD SHAFIZADEH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD SHAFIZADEH M.D. (PRESIDENT)
(212) 777-8566
Entity
Organization
Contact information
Practice address
461 PARK AVE S, 5TH FLOOR, NEW YORK, NY 10016-6822
(212) 777-8566
(646) 536-8738
Mailing address
461 PARK AVE S, 5TH FLOOR, NEW YORK, NY 10016-6822
(212) 777-8566
(646) 536-8738
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
214924
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02190334
—
NY
Enumeration date
09/13/2006
Last updated
08/22/2020
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