Moradi, Shaian

Moradi, Shaian is an individual health care provider with primary practice located at 1600 Eureka Rd , Roseville CA 95661-3027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moradi, Shaian can be contacted via phone (916) 784-5367.

Contact Information

Primary practice address
1600 Eureka Rd Roseville CA 95661-3027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18761 California

Profile Details

NPI number 1528117793
LBN Legal business name Moradi, Shaian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jun 11th, 2014 - about 10 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 1528117793 NPPES
California Other PA18761 PA LICENSE #

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