Khodai, Shahram
Khodai, Shahram is an sole proprietor health care provider with primary practice located at 3984 Douglas Blvd Suite 170, Roseville CA 95661-4245. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Khodai, Shahram can be contacted via phone (916) 771-0330.Contact Information
Primary practice address
3984 Douglas Blvd Suite 170
Roseville CA 95661-4245
Phone: (916) 771-0330
Fax: (916) 880-5354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 43027 | California |
Profile Details
| NPI number | 1104966332 |
|---|---|
| LBN Legal business name | Khodai, Shahram |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jun 2nd, 2010 - about 15 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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