Shabahang, Behrooz

Shabahang, Behrooz is an individual health care provider with primary practice located at 250 Cherry Se , Grand Rapids MI 49503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Shabahang, Behrooz can be contacted via phone (616) 752-5600.

Contact Information

Primary practice address
250 Cherry Se Grand Rapids MI 49503
Phone: (616) 752-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301066890 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301066890 Michigan

Profile Details

NPI number 1417980707
LBN Legal business name Shabahang, Behrooz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 11th, 2023 - 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 1417980707 NPPES
Michigan MEDICAID 4851370
Michigan MEDICAID 4878005

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