Shafiei, Khaled

Shafiei, Khaled is an sole proprietor health care provider with primary practice located at 3510 Medical Park Dr. Suite 9, Monroe LA 71203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shafiei, Khaled can be contacted via phone (318) 388-6050.

Contact Information

Primary practice address
3510 Medical Park Dr. Suite 9 Monroe LA 71203
Phone: (318) 388-6050
Fax: (318) 998-3022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 026713 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 026713 Louisiana

Profile Details

NPI number 1922034487
LBN Legal business name Shafiei, Khaled
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Sep 30th, 2011 - about 13 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 1922034487 NPPES
Louisiana MEDICAID 1423521

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