Dickinson, Shohreh Iravani
Dickinson, Shohreh Iravani is an individual health care provider with primary practice located at 12902 Magnolia Drive , Tampa FL 33612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dickinson, Shohreh Iravani can be contacted via phone (813) 745-3587.Contact Information
Primary practice address
12902 Magnolia Drive
Tampa FL 33612
Phone: (813) 745-3587
Fax: (813) 745-4226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME67299 | Florida |
Profile Details
| NPI number | 1841310224 |
|---|---|
| LBN Legal business name | Dickinson, Shohreh Iravani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Oct 29th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841310224 | NPPES |
| Florida | MEDICAID | 277872600 |
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