Shafaie, Farid F
Shafaie, Farid F is an individual health care provider with primary practice located at 3249 South Oak Park Ave. , Berwyn IL 60402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shafaie, Farid F can be contacted via phone (708) 783-3152.Contact Information
Primary practice address
3249 South Oak Park Ave.
Berwyn IL 60402
Phone: (708) 783-3152
Fax: (708) 783-3164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-07-4492-S | Ohio |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101049809 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D57087 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 110062 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-107562 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME134254 | Florida |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 12090 | Nevada |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | L6173 | Texas |
Profile Details
| NPI number | 1306891841 |
|---|---|
| LBN Legal business name | Shafaie, Farid F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 19th, 2024 - about 7 months 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 | 1306891841 | NPPES |
| Illinois | MEDICAID | 0361075621 | |
| Illinois | Other | 300134723 |
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