Izadyar, Shahram

Izadyar, Shahram is an individual health care provider with primary practice located at 90 Presidential Plz 4Th Floor, Syracuse NY 13202-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Izadyar, Shahram can be contacted via phone (315) 464-4243.

Contact Information

Primary practice address
90 Presidential Plz 4Th Floor Syracuse NY 13202-2240
Phone: (315) 464-4243
Fax: (315) 464-5350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 264552 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 264552 New York

Profile Details

NPI number 1497907273
LBN Legal business name Izadyar, Shahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated Aug 21st, 2013 - about 11 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 1497907273 NPPES
New York MEDICAID 03462140

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