Shadravan, Farnaz

Shadravan, Farnaz is an individual health care provider with primary practice located at 1860 Alcatraz Avenue , Berkeley CA 94703. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shadravan, Farnaz can be contacted via phone (510) 653-8500.

Contact Information

Primary practice address
1860 Alcatraz Avenue Berkeley CA 94703
Phone: (510) 653-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 42092 California

Profile Details

NPI number 1558427542
LBN Legal business name Shadravan, Farnaz
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Mar 7th, 2012 - 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.

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