Roshanravan, Shayzreen M
Roshanravan, Shayzreen M is an individual health care provider with primary practice located at 4700 Dexter Dr Ste 400 , Plano TX 75093-5299. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Roshanravan, Shayzreen M can be contacted via phone (972) 596-3242.Contact Information
Primary practice address
4700 Dexter Dr Ste 400
Plano TX 75093-5299
Phone: (972) 596-3242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M4490 | Texas |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | M4490 | Texas |
Profile Details
| NPI number | 1861502627 |
|---|---|
| LBN Legal business name | Roshanravan, Shayzreen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Oct 17th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861502627 | NPPES |
| Texas | MEDICAID | 184522407 | |
| Texas | MEDICAID | 184522408 | |
| Texas | MEDICAID | 184522405 |
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