Djafari, Valla
Djafari, Valla is an individual health care provider with primary practice located at 4010 Sandy Brook Dr Suite 105, Round Rock TX 78665-1516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Djafari, Valla can be contacted via phone (512) 651-2201.Contact Information
Primary practice address
4010 Sandy Brook Dr Suite 105
Round Rock TX 78665-1516
Phone: (512) 651-2201
Fax: (512) 651-2207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101237522 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0062707 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M9977 | Texas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | M9977 | Texas |
Profile Details
| NPI number | 1881648038 |
|---|---|
| LBN Legal business name | Djafari, Valla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Mar 27th, 2017 - about 9 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 | 1881648038 | NPPES |
| Texas | Other | 8F23832 | MEDICARE PTAN |
| Texas | MEDICAID | 010134161 | MEDICARE PTAN |
| Texas | MEDICAID | 010133840 | MEDICARE PTAN |
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