Kazerani, Shahrdad
Kazerani, Shahrdad is an individual health care provider with primary practice located at 3830 Fort St , Lincoln Park MI 48146-4107. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Kazerani, Shahrdad can be contacted via phone (313) 383-6800.Contact Information
Primary practice address
3830 Fort St
Lincoln Park MI 48146-4107
Phone: (313) 383-6800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Periodontics | 1223P0300X | 2901600288 | Michigan |
Profile Details
NPI number | 1306206966 |
---|---|
LBN Legal business name | Kazerani, Shahrdad |
Credentials | D.M.D, M.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 25th, 2016 |
Last updated | Dec 6th, 2019 - about 5 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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