Fazilat, Shahin
Fazilat, Shahin is an sole proprietor health care provider with primary practice located at 515 South Dr Ste 25 , Mountain View CA 94040-4209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fazilat, Shahin can be contacted via phone (650) 964-2200.Contact Information
Primary practice address
515 South Dr Ste 25
Mountain View CA 94040-4209
Phone: (650) 964-2200
Fax: (650) 964-2205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | A90907 | California |
Profile Details
| NPI number | 1649358599 |
|---|---|
| LBN Legal business name | Fazilat, Shahin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 16th, 2023 - about last year |
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 | 1649358599 | NPPES |
| California | Other | 92-0589712 | TAX ID |
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