Shafizadeh, Stephen Faraz

Shafizadeh, Stephen Faraz is an individual health care provider with primary practice located at 400 N Pepper Ave Ste 308 , Colton CA 92324-1819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Shafizadeh, Stephen Faraz can be contacted via phone (909) 580-1366.

Contact Information

Primary practice address
400 N Pepper Ave Ste 308 Colton CA 92324-1819
Fax: (909) 580-1363
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 125050087 Illinois

Profile Details

NPI number 1508177114
LBN Legal business name Shafizadeh, Stephen Faraz
Credentials MD PHD DC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Nov 8th, 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 1508177114 NPPES
Arkansas MEDICAID 192487001

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