Beheshti Shirazi, Seyed Abdoljavad

Beheshti Shirazi, Seyed Abdoljavad is an individual health care provider with primary practice located at 1 Guthrie Dr Department Of Pathology, Corning NY 14830-3696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Beheshti Shirazi, Seyed Abdoljavad can be contacted via phone (607) 937-1451.

Contact Information

Primary practice address
1 Guthrie Dr Department Of Pathology Corning NY 14830-3696
Phone: (607) 937-1451
Fax: (607) 937-7860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD453997 Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 268155-1 New York
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 268188 New York
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD453997 Pennsylvania

Profile Details

NPI number 1205053113
LBN Legal business name Beheshti Shirazi, Seyed Abdoljavad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Mar 25th, 2021 - about 3 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 1205053113 NPPES
New York MEDICAID 03536096

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