Khademi, Shahab

Khademi, Shahab is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Khademi, Shahab can be contacted via phone (570) 703-8000.

Contact Information

Primary practice address
1800 Mulberry St Scranton PA 18510
Phone: (570) 703-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 324100 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 15759 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS018663 Pennsylvania

Profile Details

NPI number 1710243001
LBN Legal business name Khademi, Shahab
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Jul 10th, 2023 - about 2 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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