Chafizadeh, Edward Robert
Chafizadeh, Edward Robert is an individual health care provider with primary practice located at 1015 E 32Nd St Suite 508, Austin TX 78705-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Chafizadeh, Edward Robert can be contacted via phone (512) 807-3140.Contact Information
Primary practice address
1015 E 32Nd St Suite 508
Austin TX 78705-2707
Phone: (512) 807-3140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | H7595 | Texas |
Profile Details
| NPI number | 1023019924 |
|---|---|
| LBN Legal business name | Chafizadeh, Edward Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 27th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023019924 | NPPES |
| Texas | Other | 060046728 | MEDICARE RAILROAD |
| Texas | MEDICAID | 126591003 | MEDICARE RAILROAD |
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