Individual
SHAYAN JAHANPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8020 NORTHLAKE CREEK DR STE B, CHARLOTTE, NC 28216-4487
(704) 264-1441
Mailing address
685 HYACINTH RD, CINCINNATI, OH 45245-1757
(513) 262-3438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13334
NC
Other
Enumeration date
04/18/2023
Last updated
06/21/2023
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