Paydarfar, David

Paydarfar, David is an individual health care provider with primary practice located at 1601 Trinity St Stop Z0200 , Austin TX 78712-1850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Paydarfar, David can be contacted via phone (513) 495-5300.

Contact Information

Primary practice address
1601 Trinity St Stop Z0200 Austin TX 78712-1850
Fax: (512) 495-5301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 72937 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 45769 Texas

Profile Details

NPI number 1134104797
LBN Legal business name Paydarfar, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134104797 NPPES
Massachusetts MEDICAID 110049868A
Massachusetts MEDICAID 3077756

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