Bagheri, Shahla

Bagheri, Shahla is an sole proprietor health care provider with primary practice located at 311-4E Judges Road , Wilmington NC 28405-3655. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bagheri, Shahla can be contacted via phone (914) 967-8544.

Contact Information

Primary practice address
311-4E Judges Road Wilmington NC 28405-3655
Phone: (914) 967-8544
Fax: (914) 481-4758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2007-01558 North Carolina
Other Service Providers / Specialist 174400000X 143778 New York

Profile Details

NPI number 1164509295
LBN Legal business name Bagheri, Shahla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jan 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164509295 NPPES
North Carolina MEDICAID 5912798

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