Bazrafshan, Sam

Bazrafshan, Sam is an individual health care provider with primary practice located at 4308 Brainerd Rd , Chattanooga TN 37411. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Bazrafshan, Sam can be contacted via phone (423) 698-1966.

Contact Information

Primary practice address
4308 Brainerd Rd Chattanooga TN 37411
Phone: (423) 698-1966
Fax: (423) 697-7207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001307 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PR349 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 790 Tennessee

Profile Details

NPI number 1417314477
LBN Legal business name Bazrafshan, Sam
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2016
Last updated May 17th, 2018 - about 7 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 1417314477 NPPES
Tennessee MEDICAID Q023367

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