Shahbazi, Michael Farzin

Shahbazi, Michael Farzin is an individual health care provider with primary practice located at 110 Med Tech Pkwy Suite 1, Johnson City TN 37604-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shahbazi, Michael Farzin can be contacted via phone (423) 929-2111.

Contact Information

Primary practice address
110 Med Tech Pkwy Suite 1 Johnson City TN 37604-4004
Phone: (423) 929-2111
Fax: (423) 929-0497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD16609 Tennessee

Profile Details

NPI number 1265480842
LBN Legal business name Shahbazi, Michael Farzin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 22nd, 2010 - about 15 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 1265480842 NPPES
Tennessee MEDICAID 3054308
Tennessee Other 180042544
Tennessee Other 180016465

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