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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1861502627 NPPES
Texas MEDICAID 184522407
Texas MEDICAID 184522408
Texas MEDICAID 184522405

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